NGA_2014_QICGI_v01_M DDI_NGA_2014_QICGI_v01_M_WB Development Data Group 2023-07-07 Python 3 Quality Improvement and Clinical Governance Initiative - Piloting Quality Improvement Packages in Primary Care Centers Impact Evaluation 2014-2016 Baseline & Follow-up Surveys QICGI 2014-2016 NGA_2014_QICGI_v01_M David Evans Mario Macis Felipe Dunsch Ezinne Eze-Ajoku Qiao Wang Bill and Melinda Gates Foundation Impact Evaluation Study While maternal, neonatal, and child health (MNCH) outcomes are improving in Nigeria, the rate of improvement is not sufficient to meet the MDGs related to child and maternal health. Nigeria’s under-5 mortality rate, estimated to be 124 deaths per 1000 live births in 2012 is one of the highest in the World. In fact, UNICEF (2012) ranked Nigeria as the country with the 12th highest under 5 mortality rate in the world. The Nigerian Federal Ministry of Health (FMOH) is addressing these challenges by introducing important reforms and is committed to learning which of these are working and worth scaling up. Evidence on the causal impact of past and ongoing quality improvement programs is, however, lacking, and so the scope for using previous experience to reliably guide future policy and program design is limited. Assessing and improving the quality of healthcare delivery in developing countries has been recognized as a priority by the WHO and other health agencies (WHO 2006; Institute of Medicine, 2001). In this context, the Nigerian Federal Ministry of Health proposes to experimentally evaluate variants of a healthcare management consulting intervention to enhance the quality of health care, especially maternal, newborn, and child health care. The consulting program studied in this IE aims at improving service quality and patient safety at primary healthcare centers (PHCs) by relaying information to providers and through mentoring and tutelage. Service quality and patient safeties are systemic healthcare challenges throughout Nigeria and the broader region. The goal is to impact provider knowledge and behavior, improving effort, and ultimately health outcomes, patient safety and patient satisfaction. This program is implemented jointly by the Ministry and the National Primary Healthcare Development Agency (NPHCDA). As data sources to measure and quantify the impact, the IE will use a combination of PHC administrative data, facility-level survey data, the tools developed by the healthcare consulting firm, the SDI and SURE-P surveys, as well as additional instruments to assess the quality of care. - The Service Delivery Indicators (SDI) is an initiative by the World Bank, in partnership with the African Economic Research Consortium and the African Development Bank, that collects data on service delivery in schools and health facilities across Africa. - The SURE-P MCH Program is an ambitious initiative to tackle key supply and demand-side constraints to the effective delivery of maternal and child health services in order to improve Nigeria’s MCH outcomes. SURE-P MCH will incorporate a set of four IEs looking at various pre-identified supply and demand-side challenges. The SURE-P baseline data collection was carried out in September and October of 2013. All 80 clinics of the QE project were featured in this data collection. From this data, information on facility characteristics and staffing details are being reflected in this report. - As part of the quality improvement program, the healthcare management consulting firm Pharm Access Safe Care conducted a baseline quality of care assessment in the 48 clinics that comprise treatment groups A and B. The baseline assessment included 829 indicators (of which not all are applicable to the QE context). For the 24 clinics of Treatment Group A (“full treatment”), the firm also created “Quality Improvement Plans” (QIPs). In order to track progress over time and in order to increase the statistical power of the study, the research team decided to conduct a monthly high-frequency data collection (HFDC) as a follow up instrument - v0.1: Edited, anonymous dataset for public distribution. Nigeria Six Nigerian states: Anambra, Bauchi, Cross River, Ekiti, Kebbi and Niger. The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses. QE_facility_roster_round1-7_version2 QE Facility Roster, Rounds 1-7 11058 104 World Bank QE_facility_round1-7_version2 QE Facility Data, Rounds 1-7 471 669 World Bank QE_patient_exit_all_version2 QE Patient Exit Interview 2804 364 World Bank QE_vignette_round6-7_version2 QE Vignette Rounds 6-7 1370 391 World Bank In what state are we? 11058 0 100 600 100 Anambra 1398 200 Bauchi 1980 300 Cross River 1650 400 Ekiti 2586 500 Kebbi 1752 600 Niger 1692 Which clinic is this? 11058 0 1 80 survey round 11058 0 1 6 Survey Round 11058 0 2000 7000 number of staff in the roster provided in the last survey round 7849 3209 2 59 Staff unique ID 11058 0 1 1843 Which of the following is true about ? 11058 0 (S)he still works at this clinic 6296 4762 0 1 -9 Refuse to answer 0 -8 Do not know 0 0 No 406 1 Yes 5890 Sysmiss 4762 (S)he is present at this clinic today 6296 4762 0 1 -9 Refuse to answer 0 -8 Do not know 0 0 No 4586 1 Yes 1710 Sysmiss 4762 (S)he is scheduled to work today 6296 4762 0 1 -9 Refuse to answer 0 -8 Do not know 0 0 No 3202 1 Yes 3094 Sysmiss 4762 (S)he is no longer at this facility 6296 4762 0 1 -9 Refuse to answer 0 -8 Do not know 0 0 No 5890 1 Yes 406 Sysmiss 4762 Why is not here today 1747 9311 -9 5 -9 refuse to answer 6 -8 dont't know 202 1 sickness 39 2 taking care of child/household emergence 81 3 attending a training 113 4 working another job 2 5 outreach 1304 6 Other 0 Sysmiss 9311 Is any additional clinical staff person working here that was not listed 6694 4364 0 1 0 No 3529 1 Yes 3165 Sysmiss 4364 How many additional clinical staff work here that were not listed 3165 7893 0 8 What is 's position/profession at this facility? 1726 9332 -8 20 -9 Refuse to answer 0 -8 I don't know 8 1 Doctor 6 2 Nurse 32 3 Midwife 234 4 Nurse-Midwife 193 5 Junior Community Health Worker 172 6 Senior Community Health Worker 483 7 Community health officer (CHO) 56 8 Lab technician 83 9 Pharmarcist 0 10 Village Health Worker (VHW) 372 11 Medical Record Officier 2 12 Dental Technician 83 13 Environmental Health Assistant 0 14 Environmental Health Officier 0 15 Environmental Health Officer 0 16 Health Educator 0 17 Lab Assistant 1 18 Lab Scientists 0 19 Laboratory technologist 0 20 Pharmarcy technologist 1 21 Xray technian 0 Sysmiss 9332 Other (specify) 11058 0 What is the highest clinical education of ? 1726 9332 -8 13 -9 Refuse to answer 0 -8 Do not know 132 1 Medical doctorate/MD-MBBS/MBCh 6 2 Nursing degree 4 3 Degree in Midwifery 7 4 Diploma in Nursing 59 5 Other clinical degree 8 6 Diploma in health technology (OND) 482 7 Higher diploma in health technology (HND) 158 8 Diploma in Midwifery 331 9 Postgraduate Degree in clinical fields 1 11 Certificate in health technology 179 12 No clinical degree 309 13 50 Sysmiss 9332 Other (specify) 11058 0 Does have other sources of income? 1726 9332 -8 1 -9 Refuse to answer 0 -8 Do not know 303 0 No 1332 1 Yes 91 Sysmiss 9332 What is 's nature of the other sources of income? 11058 0 Other public sector job 4033 7025 0 1 Other private sector job 4033 7025 0 1 Trading 4033 7025 0 1 Artisan 4033 7025 0 1 Rent income 4033 7025 0 1 Other 4033 7025 0 1 Other (specify) 11058 0 Is normally scheduled to be working right now? 1775 9283 -9 1 -9 Refuse to answer 1 -8 Do not know 10 0 No 760 1 Yes 1004 Sysmiss 9283 Is here today? 1004 10054 0 1 -9 Refuse to answer 0 -8 Do not know 0 0 No 273 1 Yes 731 Sysmiss 10054 Why is not here today? 273 10785 -8 6 -9 refuse to answer 0 -8 dont't know 42 1 sickness 9 2 taking care of child/household emergence 14 3 attending a training 19 4 working another job 6 5 outreach 165 6 Other 18 Sysmiss 10785 Other (specify) 11058 0 Does have a written job description or performance agreement? 1553 9505 -8 1 -9 Refuse to answer 0 -8 Do not know 63 0 No 447 1 Yes 1043 Sysmiss 9505 We would like to speak to . Is (s)he still here? 2130 8928 0 1 -9 Refuse to answer 0 -8 Do not know 0 0 No 559 1 Yes 1571 Sysmiss 8928 Name of the respondent (health worker) who is still here 0 11058 How long have you worked at this clinic? 1571 9487 -8 45 Is there a written job description for your position? 1823 9235 -8 1 What are your job description duties? 11058 0 other (specify) 11058 0 other (specify) 1406 9652 0 1 -9 Refuse to answer 0 -8 Do not know 0 0 No 689 1 Yes 717 Sysmiss 9652 What are your principal duties? 11058 0 Consulting patients 415 10643 0 1 Attending birth 415 10643 0 1 Treatment of basic diseases 415 10643 0 1 Treatment of complicated diseases 415 10643 0 1 Management of other staff 415 10643 0 1 Cleaning facility 415 10643 0 1 Record keeping 415 10643 0 1 Lab work 415 10643 0 1 Dispensing drugs 415 10643 0 1 ANC/PNC Antenatal/Post-natal care 415 10643 0 1 Immunizations 415 10643 0 1 Outreach 415 10643 0 1 Health education/information 415 10643 0 1 Small surgeries (for example circumcision) 415 10643 0 1 Supervision (for example VHW) 415 10643 0 1 Other 415 10643 0 1 Do not know 415 10643 0 1 Refuse to answer 415 10643 0 0 other (specify) 11058 0 When do you usually wash your hands at work? 11058 0 Visibly dirty or visibly soiled with blood or other body fluids 269 10789 0 1 After using the toilet 269 10789 0 1 Before and after touching a patient 269 10789 0 1 If moving from a contaminated body site to another body site during care of the 269 10789 0 1 After contact with inanimate surfaces and objects in the vicinity of patient 269 10789 0 1 After removing sterile or non-sterile gloves 269 10789 0 1 Before handling medication or preparing food 269 10789 0 1 Have you observed any changes in quality of care at this PHC over the last month 1823 9235 -8 1 -8 42 0 693 1 better 1088 2 worse 0 Sysmiss 9235 Has it gotten better or worse? 1088 9970 1 2 1 better 1042 2 worse 46 Sysmiss 9970 What was improved? 11058 0 Staff attention/friendliness/courtesy 1042 10016 0 1 Staff expertise/knowledge 1042 10016 0 1 Availability or medicine/drugs 1042 10016 0 1 Cleanliness of facility/Hygiene 1042 10016 0 1 Power supply/availability 1042 10016 0 1 Water supply/availability 1042 10016 0 1 Other 1042 10016 0 0 other (specify) 11058 0 What became worse? 11058 0 Staff attention/friendliness/courtesy 2968 8090 0 1 Staff expertise/knowledge 2968 8090 0 1 Availability or medicine/drugs 2968 8090 0 1 Cleanliness of facility/Hygiene 2968 8090 0 1 Power supply/availability 2968 8090 0 1 Water supply/availability 2968 8090 0 1 Other 2968 8090 0 0 other (specify) 11058 0 Did we ask you the same questions last month? 1571 9487 -8 1 -9 Refuse to answer 0 -8 Do not know 10 0 No 682 1 Yes 879 Sysmiss 9487 384 10674 1 8 156 10902 1 6 276 10782 1 5 102 10956 1 3 How many CLINICAL staff are currently PRESENT that WERE IN THE PREVIOUS LIST 6228 4830 1 16 How many CLINICAL staff are currently PRESENT that WERE NOT IN THE PREVIOUS LIST 398 10660 0 8 2=re-collection 8586 2472 1 2 10914 144 -8 22 10914 144 -8 13 Round 1 11058 0 0 1 Round 2 11058 0 0 1 Round 3 11058 0 0 1 Round 4 11058 0 0 1 Round 5 11058 0 0 1 Round 6 11058 0 0 1 Round 7 11058 0 0 0 In what state are we? 471 0 100 600 100 Anambra 72 200 Bauchi 96 300 Cross River 63 400 Ekiti 72 500 Kebbi 96 600 Niger 72 Which clinic is this? 471 0 1 80 Which survey round is this? (1-7) 471 0 2000 7000 1000 Round 1 0 2000 Round 2 80 3000 Round 3 80 4000 Round 4 80 5000 Round 5 80 6000 Round 6 71 7000 Round 7 80 8000 Round 8 0 471 0 To the enumerator: What is your name? 471 0 2 12 To the enumerator: Who is your quality checker? 471 0 1 18 Record number of patients in the waiting room/area upon arrival of enumerator at 471 0 0 100 DO NOT ASK THIS just record it: Can this interview be conducted? 471 0 1 1 0 No 0 1 Yes 471 Why not? 471 0 Specify other. 471 0 Are you ${oic_pl}? 311 160 0 1 0 No 148 1 Yes 163 Sysmiss 160 Are you the in-charge? 471 0 0 1 0 No 164 1 Yes 307 Is the in-charge here today? 471 0 1 3 1 Yes interview will be continued with in-charge 312 2 Yes but in-charge cannot be interviewed 5 3 No interview will be continued with representative of in-charge 154 What is your profession/position? 471 0 2 12 -9 Refuse to answer 0 -8 I don't know 0 1 Doctor 0 2 Nurse 15 3 Midwife 15 4 Nurse-Midwife 99 5 Junior Community Health Worker 22 6 Senior Community Health Worker 224 7 Community health officer (CHO) 82 8 Lab technician 4 9 Pharmarcist 0 10 Village Health Worker (VHW) 0 11 Medical Record Officier 2 12 Dental Technician 8 13 Environmental Health Assistant 0 14 Environmental Health Officer 0 15 Environmental Health Technician 0 16 Health Educator 0 17 Lab Asistant 0 18 Lab Scientists 0 19 Laboratory technologist 0 20 Pharmacy technician 0 21 Xray technician 0 Specify other. 471 0 Before we get to the rest of the staff I would like to ask you 3 questions: What 339 132 2 13 -9 Refuse to answer 0 -8 I don't know 0 1 Medical doctorate/MD-MBBS/MBCh 0 2 Nursing degree 1 3 Degree in Midwifery 0 4 Diploma in Nursing 36 5 Other clinical degree 3 6 Diploma in health technology (OND) 150 7 Higher diploma in health technology (HND) 66 8 Diploma in Midwifery 60 9 Postgraduate Degree in clinical fields 1 11 Certificate in health technology 16 12 No clinical degree 0 13 Other 6 Sysmiss 132 Specify other. 471 0 Do you have any other source of income? 339 132 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 290 1 Yes 49 Sysmiss 132 What are your sources for other income? 49 422 3 6 1 other public sector job 0 2 other private sector job 0 3 trading 38 4 artisan 0 5 rent income 2 6 9 Sysmiss 422 Other public sector job 49 422 0 0 Other private sector job 49 422 0 0 Trading 49 422 0 1 Artisan 49 422 0 0 Rent income 49 422 0 1 Other 49 422 0 1 Specify other. 471 0 How long have you been working at this clinic? 471 0 0.07999999821186066 22 How many clinical staff work at this facility? 471 0 3 59 How many non-clinical staff work here (including paid or unpaid volunteers)? 332 139 0 25 Do you have a written list of all of your clinical staff? 160 311 -8 1 -9 Refuse to answer 0 -8 I don't know 1 0 No 25 1 Yes 134 Sysmiss 311 Can I please see the staff roster/list of clinical staff? 134 337 1 2 -9 Refuse to answer 0 -8 I don't know 0 1 Yes list/form or record seen 127 2 No list/form or record not seen 7 Sysmiss 337 Given your normal patient load do you feel this facility has enough staff? 160 311 -8 1 -9 Refuse to answer 0 -8 I don't know 1 0 No 131 1 Yes 28 Sysmiss 311 What kind of staff do you need? 471 0 doctor 131 340 0 1 nurse(RN) 131 340 0 1 midwife(RN) 131 340 0 1 CHEW or village health worker 131 340 0 1 lab technician 131 340 0 1 pharmacist 131 340 0 1 record keeper 131 340 0 1 security guards 131 340 0 1 health attendant/assistant 131 340 0 1 gardener 131 340 0 1 other 131 340 0 1 I don't know 131 340 0 0 refuse to answer 131 340 0 0 Specify other. 471 0 What action WOULD you take if you need additional staff? 471 0 report to SURE-P focal person 160 311 0 1 report to other government agency 160 311 0 1 report to LGA 160 311 0 1 report to STATE Ministry of Health 160 311 0 0 report to State Primary Healthcare Development Agency (SPHCDA) 160 311 0 1 There is no one I can contact 160 311 0 0 report to WDC 160 311 0 1 Other 160 311 0 0 I don't know 160 311 0 1 Refuse to answer 160 311 0 0 Specify other. 471 0 In the past six months has this facility submitted a request for additional sta 160 311 -8 1 -9 Refuse to answer 0 -8 I don't know 16 0 No 56 1 Yes 88 Sysmiss 311 To whom have you submitted a request for additional staff? 471 0 report to SURE-P focal person 88 383 0 1 report to other government agency 88 383 0 0 report to LGA 88 383 0 1 report to STATE Ministry of Health 88 383 0 0 report to State Primary Healthcare Development Agency (SPHCDA) 88 383 0 1 There is no one I can contact 88 383 0 0 report to WDC 88 383 0 1 Other 88 383 0 1 I don't know 88 383 0 0 Refuse to answer 88 383 0 0 Specify other. 471 0 What do YOU THINK are the obstacles to attracting qualified personnel? 471 0 No qualified applicants 160 311 0 0 Salaries too low 160 311 0 1 The government is not employing new people 160 311 0 1 No career opportunities 160 311 0 1 Lack of staff quarters or housing 160 311 0 1 Bad roads 160 311 0 1 Lack of social amenities 160 311 0 1 No phone/internet network 160 311 0 1 No electricity 160 311 0 1 Lack of water 160 311 0 1 Rural area 160 311 0 1 Dangerous security situation 160 311 0 1 other 160 311 0 1 I don't know 160 311 0 1 Refuse to answer 160 311 0 0 Specify other. 471 0 If you need to replace underperforming personnel what action do you need to tak 471 0 report to SURE-P focal person 160 311 0 1 report to other government agency 160 311 0 0 report to LGA 160 311 0 1 report to STATE Ministry of Health 160 311 0 0 report to State Primary Healthcare Development Agency (SPHCDA) 160 311 0 1 There is no one I can contact 160 311 0 1 report to WDC 160 311 0 1 Other 160 311 0 1 I don't know 160 311 0 1 Refuse to answer 160 311 0 0 Specify other. 471 0 In the past six months has this facility submitted a request to replace any per 160 311 -8 1 -9 Refuse to answer 0 -8 I don't know 7 0 No 129 1 Yes 24 Sysmiss 311 Last month how many staff left the clinic for any reason? 471 0 0 5 Where did the highest ranking person leave to work? 135 336 -8 5 -9 Refuse to answer 0 -8 I don't know 32 1 Private sector job 0 2 Public sector job 6 3 To work in another public clinic 85 4 To work in a private clinic 4 5 Retirement 8 Sysmiss 336 What are the main reason staff left this facility? 471 0 Salary too low 193 278 0 0 Homesick 193 278 0 0 Poor work conditions 193 278 0 1 Delayed payments of salary 193 278 0 1 End of term/contract/retirement 193 278 0 1 Bad relationship with colleagues 193 278 0 1 Hostile community 193 278 0 0 Lack of skills 193 278 0 0 Retirement 193 278 0 1 Transferred 193 278 0 1 Other 193 278 0 1 I don't know 193 278 0 1 Refuse to answer 193 278 0 0 Specify other. 471 0 Last month were any staff meetings held at this facility? 471 0 -8 1 -9 Refuse to answer 0 -8 I don't know 5 0 No 127 1 Yes 339 How many meetings were held? 339 132 -8 60 In minutes what was the duration of the last meeting? (only for meetings held L 339 132 -8 310 Do you have a written summary for the most recent meeting last month? 339 132 -8 1 -9 Refuse to answer 0 -8 I don't know 7 0 No 58 1 Yes 274 Sysmiss 132 Last month have you been approached by any staff with suggestions for PHC impro 167 304 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 92 1 Yes 75 Sysmiss 304 Last month have you approached the in-charge with suggestions for PHC improveme 141 330 -8 1 -9 Refuse to answer 0 -8 I don't know 1 0 No 90 1 Yes 50 Sysmiss 330 What was the most recent suggestion? 471 0 Do you receive inputs (assistance/help) from any of these sources? 471 0 Money/commodities from LGA 160 311 0 1 Money/commodities from SURE-P 160 311 0 1 Money/commodities from the Community 160 311 0 1 Money/commodities from the WDC 160 311 0 1 Money/commodities from an NGO/aid agency 160 311 0 1 Community members help with work at the PHC 160 311 0 1 Community members give equipment/drugs 160 311 0 1 No inputs/resources 160 311 0 1 Other 160 311 0 1 I don't know 160 311 0 1 Refuse to answer 160 311 0 0 Specify other. 471 0 Do you have a system for MEASURING personnel performance? 160 311 -8 1 -9 Refuse to answer 0 -8 I don't know 7 0 No 93 1 Yes 60 Sysmiss 311 If so what is it? (MEASUREMENT) 471 0 Regular employee feedback talk 60 411 0 1 SURE-P evaluation form 60 411 0 0 Civil servants evaluation form (APA) 60 411 0 1 Recorded feedback from patients 60 411 0 1 Peer review by colleagues 60 411 0 1 Other (specify) 60 411 0 1 Specify other. 471 0 Do you have a system for REWARDING personnel performance? 160 311 -8 1 -9 Refuse to answer 0 -8 I don't know 2 0 No 74 1 Yes 84 Sysmiss 311 If so what is it? (REWARD) 471 0 Monetary incentives for high performing staff 84 387 0 1 Non-monetary incentives (awards) for high performing staff 84 387 0 1 Monetary penalties for underperforming staff 84 387 0 0 Non-monetary penalties for underperforming staff 84 387 0 1 Regular promotions 84 387 0 0 Verbal affirmations 84 387 0 1 Recommendation for training/workshop 84 387 0 1 Other (specify) 84 387 0 1 Specify other. 471 0 At this PHC what action is taken if a patient makes a complaint about the perfo 471 0 No action is taken 160 311 0 0 The complaint is recorded 160 311 0 1 The staff is interviewed to clarify/talked to staff member 160 311 0 1 Staff was disciplined or reprimanded 160 311 0 1 I file a request for salary to be withheld 160 311 0 0 Other 160 311 0 1 Specify other. 471 0 Can you think of any instances of this taking place last month? 471 0 -8 1 -9 Refuse to answer 0 -8 I don't know 4 0 No 438 1 Yes 29 What was the most recent complaint? 471 0 Rude behavior by staff 98 373 0 1 Maltreatment by staff 98 373 0 1 Waiting times too long 98 373 0 1 Medication not dispensed 98 373 0 1 No complaint recorded 98 373 0 0 Other (Specify) 98 373 0 1 I don't know 98 373 0 0 Refuse to answer 98 373 0 0 Specify other. 471 0 Do you keep a record for patient complaints? 17 454 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 15 1 Yes 2 Sysmiss 454 Can we see the patient complaint record? 2 469 1 1 -9 Refuse to answer 0 -8 I don't know 0 1 Yes list/form or record seen 2 2 No list/form or record not seen 0 Sysmiss 469 How many DAYS a week is this PHC open to receive patients? 160 311 5 7 How many HOURS a day is this PHC open to receive patients? 160 311 6 24 Is this clinic currently connected to the national power grid? 471 0 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 123 1 Yes 348 What is the main source of power for this facility? 160 311 1 6 1 No power supply 17 2 Electric power grid 93 3 Fuel operated generator 40 4 Battery operated generator 0 5 Solar system 5 6 Other 5 Sysmiss 311 Specify other. 471 0 Does this clinic have a functional generator? 459 12 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 178 1 Yes 281 Sysmiss 12 Do you currently have fuel for the generator? 281 190 -8 1 -9 Refuse to answer 0 -8 I don't know 4 0 No 101 1 Yes 176 Sysmiss 190 On the last day that you were working how many hours did you have power from th 348 123 -8 24 On the last day that you were working how many hours did you have power from th 281 190 0 22 Last week how many days did the PHC have no access to power at all from any sou 414 57 -8 7 What is the primary source of clean water for this facility? 160 311 1 15 -9 Refuse to answer 0 -8 I don't know 0 0 No clean water available 0 1 Public water source piped into facility 2 2 Public water source piped onto facility grounds 0 3 Public tap/standpipe 4 4 Tube well/borehole 108 5 Protected dug well 13 6 Unprotected dug well 5 7 Protected spring 0 8 Unprotected spring 0 9 Rainwater 6 10 Bottled water 0 11 Cart w/small tank/drum 1 12 Tanker truck 0 13 Stream/Surface water 4 14 Buy from vendors 14 15 Other 3 Sysmiss 311 Specify other. 471 0 Is clean water through your main source available all year or are there seasonal 160 311 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 24 1 Yes 136 Sysmiss 311 How many DAYS last week you did not have access to clean water? 471 0 -8 7 -9 Refuse to answer 0 -8 I don't know 2 0 None: Clean water was always available 427 1 1 day 2 2 2 days 6 3 3 days 4 4 4 days 8 5 5 days 3 6 6 days 4 7 7 days 15 Last month how many patients did you see who needed care but could not be treat 471 0 -8 35 You said ${num_patients_not} patients. How many of them were sent home? 268 203 0 9 How many of the ${num_patients_not} patients were referred? 268 203 0 35 Think about the last time (NOT JUST LAST MONTH) that you had a patient whose con 471 0 -8 1 -9 Refuse to answer 0 -8 I don't know 5 0 No 153 1 Yes 313 What was the condition of the patient? 471 0 Acute Typohoid 313 158 0 1 Pneumonia 313 158 0 1 Multiple fracture 313 158 0 1 Severe malnutrition 313 158 0 1 Convulsion 313 158 0 1 Antepartum-Hemorrhage 313 158 0 1 Postpartum-Hemorrhage 313 158 0 1 Eclampsia 313 158 0 1 Pre-Eclampsia 313 158 0 1 Other 313 158 0 0 I don't know 313 158 0 1 Refuse to answer 313 158 0 0 Specify other. 471 0 Was this patient referred to another hospital or clinic? 313 158 -8 1 -9 Refuse to answer 0 -8 I don't know 2 0 No 2 1 Yes 309 Sysmiss 158 Did the patient recover? 313 158 -8 1 -9 Refuse to answer 0 -8 I don't know 63 0 No 8 1 full recovery 242 2 partial recovery 0 3 other 0 Sysmiss 158 Did the patient recover fully or partially? 242 229 -8 2 -9 Refuse to answer 0 -8 I don't know 1 0 No 0 1 full recovery 237 2 partial recovery 4 3 other 0 Sysmiss 229 Specify other. 471 0 Did you document why you referred this patient elsewhere? 309 162 -8 1 -9 Refuse to answer 0 -8 I don't know 1 0 No 16 1 Yes 292 Sysmiss 162 Can we see the document? 292 179 1 2 -9 Refuse to answer 0 -8 I don't know 0 1 Yes list/form or record seen 264 2 No list/form or record not seen 28 Sysmiss 179 Were there obstacles for the timely transfer of this patient? 309 162 -8 1 -9 Refuse to answer 0 -8 I don't know 3 0 No 259 1 Yes 47 Sysmiss 162 What were the obstacles? 471 0 No idea where to transfer the patient to 260 211 0 0 There was no vehicle 260 211 0 1 The patient refused to be transferred 260 211 0 1 The patient was too sick to be transferred 260 211 0 0 Other (Specify) 260 211 0 1 I don't know 260 211 0 0 Refuse to answer 260 211 0 0 Specify other. 471 0 Do you have printed guidelines for the treatment of the following medical issues 471 0 Maternal health 160 311 0 1 Family planning 160 311 0 1 Immunization guidelines/schedule 160 311 0 1 Pneumonia 160 311 0 1 Malaria 160 311 0 1 None 160 311 0 1 Diarrhea 160 311 0 1 HIV/AIDS 160 311 0 1 Other 160 311 0 1 Specify other. 471 0 Please show me those guidelines you indicated. 471 0 Maternal health 155 316 0 1 Family planning 155 316 0 1 Immunization guidelines/schedule 155 316 0 1 Pneumonia 155 316 0 1 Malaria 155 316 0 1 None 155 316 0 1 Diarrhea 155 316 0 1 HIV/AIDS 155 316 0 1 Other 155 316 0 1 Specify other. 471 0 How often do you REFER to/CONSULT the guidelines? 155 316 -8 4 -9 Refuse to answer 0 -8 I don't know 1 1 never 2 2 once (1 time) 1 3 every once in a while/sometimes 71 4 always 80 5 other 0 Sysmiss 316 Specify other. 471 0 Are there any situations in which you feel like it is important to DEVIATE from 155 316 -8 1 -9 Refuse to answer 0 -8 I don't know 1 0 No 133 1 Yes 21 Sysmiss 316 Please explain WHY you deviated from the guidelines. 471 0 How often do you ADHERE to the guidelines? 155 316 2 4 -9 Refuse to answer 0 -8 I don't know 0 1 never 0 2 once (1 time) 1 3 every once in a while/sometimes 34 4 always 120 5 other 0 Sysmiss 316 Specify other. 471 0 During the last year: Have your staff received training in clinical guidelines? 160 311 -8 1 -9 Refuse to answer 0 -8 I don't know 8 0 No 84 1 Yes 68 Sysmiss 311 If yes from whom? 471 0 external trainer (LGA/Ministry etc) 68 403 0 1 colleague (midwife/CHEW/JCHEW) 68 403 0 1 video/DVD 68 403 0 0 collegue (doctor) 68 403 0 0 NGO/World Bank/UN agency etc) 68 403 0 1 National Primary Healthcare Development Agency (NPHCDA) 68 403 0 1 Other 68 403 0 1 Specify other. 471 0 Since last year have you put up any posters with clinical information (IEC)? 0 471 -9 Refuse to answer 0 -8 I don't know 0 0 No 0 1 Yes 0 Sysmiss 471 During the last month have you put up any posters with clinical information (IE 471 0 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 181 1 Yes 290 Do you offer immunization services? 160 311 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 1 1 Yes 159 Sysmiss 311 Do you have functioning coldchain equipment to store drugs like vaccines for a l 159 312 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 5 1 Yes 154 2 Yes drugs/vaccines are stored with other items such as drinks 0 Sysmiss 312 Specify other. 471 0 What kind of coldchain equipment do you have? 471 0 fridge 154 317 0 1 coldbox 154 317 0 1 vaccine carrier (e.g. Giostyle) 154 317 0 1 deep freezer 154 317 0 1 other 154 317 0 0 Specify other. 471 0 Last month: how many antenatal visits did this facility receive? 471 0 -8 857 How many deliveries took place at this PHC in the last month? 471 0 -8 179 How many deliveries had complications? (for the mother or child - during or afte 471 0 -8 9 How many cases of neonatal sepsis? 50 421 0 1 How many cases of neonatal tetanus? 50 421 0 0 How many cases of neonatal deaths? 50 421 0 0 How many stillbirths were there? 50 421 0 20 Mothers: Were there any fatalities during or around deliveries? How many? 50 421 0 5 Children: Were there any fatalities during or around deliveries? How many? 50 421 0 2 To Enumerator: Did the respondent use written records to answer the questions? 50 421 0 1 0 No 2 1 Yes 48 Sysmiss 421 Please take a picture of the records shown to you. 471 0 Additional image (if necessary): Please take a picture of the records shown to y 471 0 Additional image (if necessary): Please take a picture of the records shown to y 471 0 Is there a partograph available in the facility? 160 311 -8 1 -9 Refuse to answer 0 -8 I don't know 1 0 No 110 1 Yes 49 Sysmiss 311 Is it posted visibly? 49 422 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 37 1 Yes 12 Sysmiss 422 Check the records for the 10 most recent births. How many have an 'apgar' report 471 0 -8 10 How many patients were diagnosed with malaria last month? 471 0 -8 916 How many of those were diagnosed via rapid diagnostic test (RDT)? 456 15 -8 716 How many were diagnosed with other lab testing methods? (for example microscope) 456 15 -8 349 How were malaria patients treated? 471 0 ACTs 456 15 0 1 Traditional medicine 456 15 0 1 Other anti-malarials 456 15 0 1 Other drugs 456 15 0 1 Drugs were not available 456 15 0 1 Other (specify) 456 15 0 0 'Silent question': Did the respondent use written records to answer any of the q 471 0 0 1 0 No 11 1 Yes 460 Questions for incharge: Which rooms do you have in this facility? 471 0 Consulting room (General) 471 0 0 1 0 no 9 1 yes 462 Bathrooms 471 0 0 1 0 no 71 1 yes 400 Waiting room 471 0 0 1 0 no 14 1 yes 457 Delivery room 471 0 0 1 0 no 2 1 yes 469 Treatment room 471 0 0 1 0 no 121 1 yes 350 Ward 471 0 0 1 0 no 2 1 yes 469 Operating theatre/surgery 471 0 0 1 0 no 436 1 yes 35 Laboratory 471 0 0 1 0 no 127 1 yes 344 Store/Storage for drugs 471 0 0 1 0 no 16 1 yes 455 Store/Storage for equipment 471 0 0 1 0 no 216 1 yes 255 Toilets 471 0 0 1 0 no 15 1 yes 456 Card room 471 0 0 1 0 no 320 1 yes 151 Family planning consulting room 471 0 0 1 0 no 277 1 yes 194 Palpation room 471 0 0 1 0 no 320 1 yes 151 Other 471 0 0 1 Don't know 471 0 0 0 Refuse to answer 471 0 0 0 Specify other. 471 0 Is there a hand washing facility for patients? 471 0 0 1 0 No 235 1 Yes 236 Is there a hand washing facility for medical personnel? 471 0 0 1 0 No 37 1 Yes 434 Visible presence of hand washing supplies (soap and water) 438 33 0 1 0 No 64 1 Yes 374 Sysmiss 33 To enumerator: check how many of the essential areas (listed) have water availab 471 0 None have clean water 471 0 0 1 Consulting room 462 9 0 1 Bathrooms/Toilets 462 9 0 1 Waiting room 462 9 0 1 Delivery room 462 9 0 1 Treatment room/surgery 462 9 0 1 Ward 462 9 0 1 Operating theatre 462 9 0 1 Laboratory 462 9 0 1 Store/Storage for drugs and equipment 462 9 0 1 None 462 9 0 1 Don't know 462 9 0 0 Refuse to answer 462 9 0 0 Specify other. 471 0 Is the waiting room clean? Please rate. 471 0 0 5 -9 Refuse to answer 0 -8 I don't know 0 0 No such room at this facility 10 1 Very clean 148 2 Clean 262 3 Average 46 4 Dirty 4 5 Very dirty 1 Image of waiting room 471 0 2nd Image of waiting room 471 0 3rd Image of waiting room 471 0 Are the toilet rooms clean? Please rate 471 0 -9 5 -9 Refuse to answer 1 -8 I don't know 3 0 No such room at this facility 14 1 Very clean 69 2 Clean 181 3 Average 106 4 Dirty 72 5 Very dirty 25 Snap an image/picture of toilets 471 0 Snap a second image/picture of toilets 471 0 Snap a third image/picture of toilets 471 0 Are there Mosquito net(s) for ward bed 471 0 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 364 1 Yes 107 Are there Mosquito nets on the windows (in all the rooms) 471 0 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 165 1 Yes 306 How many beds are in the ward? 471 0 1 21 How many ward screens are available throughout the facility? 471 0 0 8 Are there fire extinguishers (functional)? 471 0 -8 1 -9 Refuse to answer 0 -8 I don't know 3 0 No 199 1 Yes 269 Ambulance (functional)? 80 391 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 73 1 Yes 7 Sysmiss 391 Are there materials for sterilization of equipment 391 80 -8 1 -9 Refuse to answer 0 -8 I don't know 1 0 No 44 1 Yes 346 Sysmiss 80 Is there a functional Autoclave? 346 125 0 2 -9 Refuse to answer 0 -8 I don't know 0 0 No 91 1 Yes but not functional 30 2 Yes functional 225 Sysmiss 125 Electric dry heat sterilizer (functional) 346 125 -8 2 -9 Refuse to answer 0 -8 I don't know 1 0 No 288 1 Yes but not functional 23 2 Yes functional 34 Sysmiss 125 Please specify other sterilization equipment this clinic has. 471 0 Is the drug storage neatly organized? 471 0 -8 4 -9 Refuse to answer 0 -8 I don't know 32 1 Yes drugs are labelled and organized 40 2 Yes drugs are organized (not labelled) 191 3 No drugs are all over the place (scattered) 203 4 Drug storage could not seen/observed 5 Image of the drug storage 471 0 2nd Image of the drug storage 471 0 Is a patient rights charter visible displayed for everyone to see? 471 0 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 374 1 Yes 97 To enumerator: Is there a waste bin in the clinic? 471 0 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 8 1 Yes 463 How is medical waste disposed? 391 80 1 5 -9 Refuse to answer 0 -8 I don't know 0 1 Burned on the premises 336 2 Handed over to others 10 3 Put in whole on the premises not burned 41 4 Disposed in a closed box which is removed regularly 3 5 Medical waste is disposed together with regular waste. 1 Sysmiss 80 Do you have currently any vaccines at the facility? (access today) 469 2 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 352 1 Yes 117 Sysmiss 2 Are the vaccines currently locked and the staff has no access? 308 163 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 278 1 Yes 30 Sysmiss 163 Do you have access to vaccines elsewhere? 354 117 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 17 1 Yes 337 Sysmiss 117 Number of vials: BCG 117 354 0 100 Is there an expiration date on the vial? 85 386 1 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 0 1 Yes 85 Sysmiss 386 Check the VVM (vaccine vial monitor) and record the stage 85 386 1 3 -9 Refuse to answer 0 -8 I don't know 0 1 I: The inner square is lighter than the outer circle 82 2 II: The inner square is still lighter than the outer circle but not as light as 2 3 III: The color of the inner square matches the color of the outer circle 1 4 IV: The inner square is darker than the other circle 0 5 No VVM found on vial 0 Sysmiss 386 Number of vials: Penta 117 354 0 190 Is there an expiration date on the vial? 99 372 1 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 0 1 Yes 99 Sysmiss 372 Check the VVM (vaccine vial monitor) and record the stage 99 372 1 4 -9 Refuse to answer 0 -8 I don't know 0 1 I: The inner square is lighter than the outer circle 76 2 II: The inner square is still lighter than the outer circle but not as light as 21 3 III: The color of the inner square matches the color of the outer circle 1 4 IV: The inner square is darker than the other circle 1 5 No VVM found on vial 0 Sysmiss 372 Number of vials: Polio 117 354 0 165 Is there an expiration date on the vial? 97 374 1 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 0 1 Yes 97 Sysmiss 374 Check the VVM (vaccine vial monitor) and record the stage 97 374 1 4 -9 Refuse to answer 0 -8 I don't know 0 1 I: The inner square is lighter than the outer circle 44 2 II: The inner square is still lighter than the outer circle but not as light as 48 3 III: The color of the inner square matches the color of the outer circle 4 4 IV: The inner square is darker than the other circle 1 5 No VVM found on vial 0 Sysmiss 374 Number of vials: Measles 117 354 0 98 Is there an expiration date on the vial? 103 368 1 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 0 1 Yes 103 Sysmiss 368 Check the VVM (vaccine vial monitor) and record the stage 103 368 1 2 -9 Refuse to answer 0 -8 I don't know 0 1 I: The inner square is lighter than the outer circle 87 2 II: The inner square is still lighter than the outer circle but not as light as 16 3 III: The color of the inner square matches the color of the outer circle 0 4 IV: The inner square is darker than the other circle 0 5 No VVM found on vial 0 Sysmiss 368 Number of vials: Yellow Fever 117 354 0 102 Is there an expiration date on the vial? 96 375 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 2 1 Yes 94 Sysmiss 375 Check the VVM (vaccine vial monitor) and record the stage 96 375 1 5 -9 Refuse to answer 0 -8 I don't know 0 1 I: The inner square is lighter than the outer circle 88 2 II: The inner square is still lighter than the outer circle but not as light as 7 3 III: The color of the inner square matches the color of the outer circle 0 4 IV: The inner square is darker than the other circle 0 5 No VVM found on vial 1 Sysmiss 375 Number of vials: Hepatitis B 117 354 0 68 Is there an expiration date on the vial? 94 377 1 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 0 1 Yes 94 Sysmiss 377 Check the VVM (vaccine vial monitor) and record the stage 94 377 1 3 -9 Refuse to answer 0 -8 I don't know 0 1 I: The inner square is lighter than the outer circle 89 2 II: The inner square is still lighter than the outer circle but not as light as 4 3 III: The color of the inner square matches the color of the outer circle 1 4 IV: The inner square is darker than the other circle 0 5 No VVM found on vial 0 Sysmiss 377 Right now do you have access to drugs at the facility? 471 0 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 40 1 Yes 431 Are the drugs currently locked and the staff has no access? 40 431 1 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 0 1 Yes 40 Sysmiss 431 Do you have access to drugs elsewhere? 40 431 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 17 1 Yes 23 Sysmiss 431 Number packs: Misoprostol 428 43 0 2000 How many pills/vials are in one pack? 373 98 2 150 Is there an expiration date on the case/pack? 373 98 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 1 1 Yes 372 Sysmiss 98 Number of packs: Oxytocin 428 43 0 2000 How many pills/vials are in one pack? 373 98 10 18 Is there an expiration date on the case/pack? 373 98 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 2 1 Yes 371 Sysmiss 98 Number of packs: Magnesium Sulfate (MG) 428 43 0 80 How many pills/vials are in one pack? 155 316 5 1000 Is there an expiration date on the case/pack? 155 316 1 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 0 1 Yes 155 Sysmiss 316 Packs: Zinc 428 43 0 2000 How many pills/vials are in one pack? 301 170 1 100 Is there an expiration date on the case/pack? 301 170 1 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 0 1 Yes 301 Sysmiss 170 Units: Chlorhexidine 428 43 0 120 How many litres are in one unit? 236 235 1 5 Is there an expiration date on the case/pack? 236 235 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 27 1 Yes 209 Sysmiss 235 Number of cases: Amoxycillin 428 43 0 1300 How many pills/vials are in one pack? 250 221 1 1000 Is there an expiration date on the case/pack? 250 221 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 2 1 Yes 248 Sysmiss 221 Number of cases/packs: ORS 428 43 0 2000 How many sachets are in one pack? 352 119 0 1000 Is there an expiration date on the case/pack? 352 119 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 1 1 Yes 351 Sysmiss 119 Number of cases: ACT 428 43 -8 1810 How many pills/vials are in one pack? 301 170 3 120 Is there an expiration date on the case/pack? 301 170 1 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 0 1 Yes 301 Sysmiss 170 Number of cases: Fansidar/IPT 428 43 -8 2000 How many pills/vials are in one pack? 304 167 2 1000 Is there an expiration date on the case/pack? 304 167 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 2 1 Yes 302 Sysmiss 167 Number of cases/packs: Needles/Syringes (complete and sealed set) 471 0 -8 500 How many sets (Needle + Syringe) are in one pack? 370 101 1 300 Number of rolls: Cotton absorbent 471 0 -8 391 Number of cases: Gauze 471 0 -8 257 Does the PHC have functioning resuscitation equipment? 471 0 -8 1 -9 Refuse to answer 0 -8 I don't know 1 0 No 48 1 Yes 422 I saw that one or more essential drugs are out of stock. When did you notice tha 382 89 -9 7 -9 Refuse to answer 2 -8 I don't know 33 1 I did not know they were out until you told me know 19 2 Today 6 3 Yesterday 5 4 3-7 days ago 76 5 7-30 days/4 weeks/one month ago 135 6 More than 1 month but less than a year 104 7 A year or more ago 2 Sysmiss 89 What action if any have you taken to address this stockout? 363 108 -9 4 -9 2 -8 27 1 I ordered new stocks 242 2 I purchased drugs 12 3 I did nothing 60 4 Other 20 Sysmiss 108 Specify other. 471 0 When did you take action? 303 168 -9 7 -9 Refuse to answer 2 -8 I don't know 28 1 I did not know they were out until you told me know 0 2 Today 7 3 Yesterday 10 4 3-7 days ago 69 5 7-30 days/4 weeks/one month ago 113 6 More than 1 month but less than a year 73 7 A year or more ago 1 Sysmiss 168 I saw that one ore more essential vaccines are out of stock. When did you notice 62 409 -8 6 -9 Refuse to answer 0 -8 I don't know 6 1 I did not know they were out until you told me know 5 2 Today 6 3 Yesterday 8 4 3-7 days ago 21 5 7-30 days/4 weeks/one month ago 15 6 More than 1 month but less than a year 1 7 A year or more ago 0 Sysmiss 409 What action if any have you taken to address this stockout? 57 414 -8 4 -8 4 1 I ordered new stocks 35 2 I purchased drugs 0 3 I did nothing 15 4 Other 3 Sysmiss 414 Specify other. 471 0 When did you take action? 42 429 -8 6 -9 Refuse to answer 0 -8 I don't know 5 1 I did not know they were out until you told me know 0 2 Today 4 3 Yesterday 2 4 3-7 days ago 18 5 7-30 days/4 weeks/one month ago 12 6 More than 1 month but less than a year 1 7 A year or more ago 0 Sysmiss 429 Is there a re-order level for vaccines? 348 123 -8 1 -9 Refuse to answer 0 -8 I don't know 12 0 No 194 1 Yes 142 Sysmiss 123 Is there a re-order level for drugs? 466 5 -8 1 -9 Refuse to answer 0 -8 I don't know 36 0 No 130 1 Yes 300 Sysmiss 5 What is the process for requesting drugs and vaccines at the re-order level? 471 0 Written request to LGA 368 103 0 1 Written request to SURE-P 368 103 0 1 Written request to other agency 368 103 0 1 Call the LGA 368 103 0 1 Call the SURE-P focal point 368 103 0 1 Other 368 103 0 1 Specify other. 471 0 Unique submission ID 471 0 Swipe forward 471 0 2014-07-07 03:45:00 2015-02-11 03:52:00 Swipe forward 471 0 2014-07-07 04:46:00 2015-02-11 04:12:00 End of Module 1 - Time 471 0 2014-07-07 05:06:00 2015-02-11 04:39:00 Expiration date: BCG 85 386 2014-08-15 2019-03-15 Expiration date: Penta 99 372 2014-12-02 2016-11-05 Expiration date: Polio 97 374 2014-08-15 2016-11-15 Expiration date: Measles 103 368 2014-11-11 2016-12-15 Expiration date: Yellow Fever 94 377 2014-07-15 2016-07-15 Expiration date: Hepatitis B 94 377 2015-02-25 2017-01-31 Expiration date: Misoprostol 372 99 2014-01-15 2017-01-18 Expiration date: Oxytocin 371 100 2014-03-15 2016-11-16 Expiration date: Magnesium Sulfate (MG) 155 316 2014-01-15 2016-09-15 Expirtation date: Zinc 301 170 2014-10-16 2017-12-15 Expiration date: Chlorhexidine 209 262 2014-07-15 2018-12-15 Expiration date: Amoxycillin 248 223 2014-10-15 2018-08-15 Expiration date: ORS 351 120 2014-05-15 2017-12-30 Expiration date: ACT 301 170 2014-07-15 2017-03-31 Expiration date: Fansidar/IPT 302 169 2014-01-15 2018-09-15 treatment 471 0 0 2 0 Control 188 1 Treatment A 141 2 Treatment B 142 Can you please show me the vaccines? 471 0 Specify other. 471 0 Can you please show me the drugs? 471 0 Specify other. 471 0 Were you interviewed by me last month (as the MAIN RESPONDENT)? 80 391 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 30 1 Yes 50 Sysmiss 391 Please select the state that we are in 471 0 Please choose the facility we are in from the list. 391 80 1 80 Number of clinical staff in the previous list 391 80 2 59 SET-OF-workers 471 0 Is any additional clinical staff person working here that was not listed? 391 80 0 1 0 No 208 1 Yes 183 Sysmiss 80 How many additional clinical staff work here that were not listed? 391 80 0 8 SET-OF-roster 471 0 Were any NON-CLINICAL staff added or released over the last month? 311 160 0 1 0 No 279 1 Yes 32 Sysmiss 160 How many non-clinical staff work here now (including paid or unpaid volunteers)? 36 435 0 17 staff (present) 471 0 SET-OF-present_workers 471 0 How many CLINICAL staff are currently PRESENT at this facility that WERE NOT IN 391 80 0 8 SET-OF-clinic_staff2 471 0 Is medical waste disposed together with regular waste or separately? 391 80 1 3 -9 refuse to answer 0 -8 I don't know 0 1 Medical waste and regular waste are disposed the same way 269 2 Medical waste is disposed differently 117 3 Sometimes together, sometimes separately 5 Sysmiss 80 Were any NON-CLINICAL staff added or released over the last month? 471 0 No 80 391 0 1 Staff was added 80 391 0 1 Staff was released 80 391 0 1 Don't know 80 391 0 0 Refuse to answer 80 391 0 0 Are you currently working towards any targets to improve the quality of care at 80 391 -8 1 -9 Refuse to answer 0 -8 I don't know 4 0 No 26 1 Yes 50 Sysmiss 391 Over the past 2 weeks, how many days was electricity from this source interrupte 68 403 -8 14 Over the past 3 months, how many days was electricity from this source interrupt 68 403 -8 92 Does this facility have any other sources of electricity? 471 0 Specify other. 471 0 During the past 2 weeks, how many days was the water supply from this source int 80 391 -9 14 What is the average walking time to and from the main source of water? (includin 80 391 -9 30 Is there ANOTHER source of water for this facility? 471 0 Specify other. 471 0 Do you keep individual case records? 80 391 0 1 0 No 13 1 Yes 67 Sysmiss 391 What kind of files does the PHC keep? 471 0 General patient records 67 404 0 1 ANC records 67 404 0 1 Malaria records 67 404 0 1 Other 67 404 0 0 Don't know 67 404 0 0 Refuse to answer 67 404 0 0 Specify other. 471 0 In what form are files kept? 471 0 Patient folders 67 404 0 1 Patient cards stored at the facility 67 404 0 1 Individual patient books 67 404 0 1 No files kept 67 404 0 1 Files not accesible today 67 404 0 1 Other 67 404 0 1 Specify other. 471 0 Does the facility keep records for…. 67 404 1 4 1 ...all patients (many files) 42 2 ...just selected cases 16 3 ...sporadically (just very few) 8 4 Other 1 5 Don't know 0 6 Refuse to answer 0 Sysmiss 404 Specify other. 471 0 Can we look at 5 records now please? 67 404 0 1 0 No 2 1 Yes 65 Sysmiss 404 Why not? 471 0 471 0 With which system are the files organized? 65 406 1 4 1 Organized alphabetically 3 2 Organized by patient ID number 31 3 Not organized 28 4 Other 3 5 Don't know 0 6 Refuse to answer 0 Sysmiss 406 Specify other. 471 0 Please snap a picture of the files that illustrates well how they are stored 471 0 Please snap a 2nd picture of the files that illustrates well how they are stored 471 0 Case files: Is the following indicated...? 0 471 0 No 0 1 Yes 0 2 Not readable 0 Sysmiss 471 Name of patient - record number ${rands1} 65 406 1 1 0 No 0 1 Yes 65 2 Not readable 0 Sysmiss 406 Date of visit - record number ${rands1} 65 406 0 1 0 No 3 1 Yes 62 2 Not readable 0 Sysmiss 406 Initials or name of health worker - record number ${rands1} 65 406 0 1 0 No 31 1 Yes 34 2 Not readable 0 Sysmiss 406 Condition (last visit) - record number ${rands1} 65 406 0 1 0 No 5 1 Yes 60 2 Not readable 0 Sysmiss 406 Case files: Is the following indicated...? 0 471 0 No 0 1 Yes 0 2 Not readable 0 Sysmiss 471 Name of patient - record number ${rands2} 65 406 1 1 0 No 0 1 Yes 65 2 Not readable 0 Sysmiss 406 Date of visit - record number ${rands2} 65 406 0 1 0 No 1 1 Yes 64 2 Not readable 0 Sysmiss 406 Initials or name of health worker - record number ${rands2} 65 406 0 1 0 No 35 1 Yes 30 2 Not readable 0 Sysmiss 406 Condition (last visit) - record number ${rands2} 65 406 0 1 0 No 9 1 Yes 56 2 Not readable 0 Sysmiss 406 Case files: Is the following indicated...? 0 471 0 No 0 1 Yes 0 2 Not readable 0 Sysmiss 471 Name of patient - record number ${rands3} 65 406 0 1 0 No 1 1 Yes 64 2 Not readable 0 Sysmiss 406 Date of visit - record number ${rands3} 65 406 1 1 0 No 0 1 Yes 65 2 Not readable 0 Sysmiss 406 Initials or name of health worker - record number ${rands3} 65 406 0 1 0 No 36 1 Yes 29 2 Not readable 0 Sysmiss 406 Condition (last visit) - record number ${rands3} 65 406 0 1 0 No 5 1 Yes 60 2 Not readable 0 Sysmiss 406 Case files: Is the following indicated...? 0 471 0 No 0 1 Yes 0 2 Not readable 0 Sysmiss 471 Name of patient - record number ${rands4} 65 406 0 1 0 No 2 1 Yes 63 2 Not readable 0 Sysmiss 406 Date of visit - record number ${rands4} 65 406 1 1 0 No 0 1 Yes 65 2 Not readable 0 Sysmiss 406 Initials or name of health worker - record number ${rands4} 65 406 0 1 0 No 32 1 Yes 33 2 Not readable 0 Sysmiss 406 Condition (last visit) - record number ${rands4} 65 406 0 1 0 No 6 1 Yes 59 2 Not readable 0 Sysmiss 406 Case files: Is the following indicated...? 0 471 0 No 0 1 Yes 0 2 Not readable 0 Sysmiss 471 Name of patient - record number ${rands5} 65 406 0 1 0 No 1 1 Yes 64 2 Not readable 0 Sysmiss 406 Date of visit - record number ${rands5} 65 406 0 1 0 No 2 1 Yes 63 2 Not readable 0 Sysmiss 406 Initials or name of health worker - record number ${rands5} 65 406 0 1 0 No 31 1 Yes 34 2 Not readable 0 Sysmiss 406 Condition (last visit) - record number ${rands5} 65 406 0 1 0 No 6 1 Yes 59 2 Not readable 0 Sysmiss 406 Observe: are there medical gloves available? 80 391 0 1 0 No 2 1 Yes 78 Sysmiss 391 Are there different mops available for high and low risk areas in the facilities 80 391 0 1 0 No 33 1 Yes 47 Sysmiss 391 Is there a color coded system for these mops 47 424 0 5 0 No 21 1 Yes 21 5 Not color coded, but other clear system 5 Sysmiss 424 Are the patient toilets inside the main PHC building? 68 403 0 1 0 No 33 1 Yes 35 Sysmiss 403 ASK the respondent: Do the patients have access to the toilets? Can they use the 68 403 0 1 0 No 16 1 Yes 52 Sysmiss 403 Are the stored bed linens clean? 80 391 0 5 0 No, not clean 13 1 Yes, clean 49 5 No fresh linens available 18 Sysmiss 391 Are flammable materials clearly labelled? (fuel, kerosene, meth spirit, etc.) 80 391 0 5 0 No 49 1 Yes 18 5 There are no flammable materials in this facility 13 Sysmiss 391 Is there at least one poster on display describing hand-washing behavior? 80 391 0 1 0 No 58 1 Yes 22 Sysmiss 391 Are there posters showing waste separation in the clinic? 80 391 0 1 0 No 75 1 Yes 5 Sysmiss 391 Re-check: Are any of the following vaccines available in this service site today 0 471 1 At least one observed (AND non-expired) 0 2 At least one observed (But expired/VVM Szazis Stage 3 above) 0 3 Available but not observed 0 4 Not available today 0 5 Never available 0 Sysmiss 471 Available: Autoclave 80 391 0 1 0 No 27 1 Yes 53 Sysmiss 391 Available: Electric dry heat sterilizer 80 391 0 1 0 No 71 1 Yes 9 Sysmiss 391 Available: Incinerator 80 391 0 1 0 No 74 1 Yes 6 Sysmiss 391 Available: Electric boiler or steamer (no pressure) 80 391 0 1 0 No 74 1 Yes 6 Sysmiss 391 Available: Non-electric pot for boiling/steam or heat source from non-electric e 80 391 0 1 0 No 40 1 Yes 40 Sysmiss 391 Which of the following items are FUNCTIONAL? 0 471 0 No 0 1 Yes 0 Sysmiss 471 Functioning: Autoclave 53 418 0 1 0 No 7 1 Yes 46 Sysmiss 418 Functioning: Electric dry heat sterilizer 9 462 0 1 0 No 2 1 Yes 7 Sysmiss 462 Functioning: Incinerator 6 465 0 1 0 No 1 1 Yes 5 Sysmiss 465 Functioning: Electric boiler or steamer (no pressure) 6 465 1 1 0 No 0 1 Yes 6 Sysmiss 465 Functioning: Non-electric pot for boiling/steam or heat source from non-electric 40 431 0 1 0 No 4 1 Yes 36 Sysmiss 431 Is there a designated individual responsible for infection control at this facil 80 391 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 58 1 Yes 22 Sysmiss 391 Who is it? 22 449 -8 15 -9 Refuse to answer 0 -8 I don't know 1 1 Doctor 0 2 Nurse 1 3 Midwife 3 4 Nurse-Midwife 5 5 Junior Community Health Worker 0 6 Senior Community Health Worker 3 7 Community health officer (CHO) 2 8 Lab technician 1 9 Pharmarcist 0 10 Village Health Worker (VHW) 0 11 Medical Record Officier 0 12 Dental Technician 0 13 Environmental Health Assistant 1 14 Environmental Health Officer 3 15 Environmental Health Technician 2 16 Health Educator 0 17 Lab Asistant 0 18 Lab Scientists 0 19 Laboratory technologist 0 20 Pharmacy technician 0 21 Xray technician 0 Sysmiss 449 Specify other. 471 0 Were staff trained on disinfection technqiues? (last 6 months) 80 391 -8 1 -9 Refuse to answer 0 -8 I don't know 6 0 No 68 1 Yes 6 Sysmiss 391 If yes, have you kept a record of the training? 6 465 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 2 1 Yes 4 Sysmiss 465 Snap an image of the charter 471 0 Is an organizational structure chart available in the facility? 80 391 0 1 0 No 62 1 Yes 18 Sysmiss 391 Take a photo 471 0 Are the waste bins covered? 79 392 0 2 0 They are not covered 14 1 Some are covered, not all 41 2 Yes, they are all covered 24 Sysmiss 392 Are the waste bin for different types of waste clearly marked? (for example colo 79 392 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 48 1 Yes 31 Sysmiss 392 Burn incinerator (within the facility ground) 80 391 0 1 Open burning (within the facility ground) 80 391 0 1 Dump without burning (within the facility ground) 80 391 0 1 Remove off-site 80 391 0 1 Facility never has medical waste such as bandages 80 391 0 0 Other 80 391 0 1 Don't know 80 391 0 1 Refuse to answer 80 391 0 0 Specify other. 471 0 If you burn medical waste within the premise, what method do you use? 4 467 1 2 1 chamber industrial (800-1000+) 2 2 chamber drum/brick 2 3 Other 0 4 Don't know 0 5 Refuse to answer 0 Sysmiss 467 Specify other. 471 0 If you dispose medical waste using Open Burning (within the facility grounds), h 471 0 Flat ground - no protection 59 412 0 1 Pit or protected ground 59 412 0 1 Other 59 412 0 1 Don't know 59 412 0 0 Refuse to answer 59 412 0 0 Specify other. 471 0 If you dispose medical waste by dumping without burning (within the facility gro 471 0 Flat ground - no protection 12 459 0 0 Pit or protected ground 12 459 0 1 Other 12 459 0 1 Don't know 12 459 0 0 Refuse to answer 12 459 0 0 Specify other. 471 0 If you dispose medical waste by removing off-site, which method do you normally 4 467 1 5 -9 Refuse to answer 0 -8 Don't know 0 1 Stored in covered container 2 2 Stored in other protected environment 0 3 Stored unprotected 0 4 Burn incinerator 0 5 2 Sysmiss 467 Specify other. 471 0 Ask to see the place used by the facility for disposal of medical waste and indi 80 391 1 4 1 No waste visible 22 2 Waste visible but protected area 38 3 Waste visible, not protected 17 4 Waste site not inspected 3 Sysmiss 391 Does this facility have any guidelines on health care waste management? 80 391 0 5 0 No guidelines 72 1 Yes, guidelines observed 6 5 Guidelines available, but not seen 2 Sysmiss 391 Have you or any provider(s) received training in health care waste management pr 80 391 0 1 0 No 70 1 Yes 10 Sysmiss 391 Do you have a schedule for burning waste? 80 391 0 1 0 No 73 1 Yes 7 Sysmiss 391 Can we see it? 7 464 0 1 0 No 3 1 Yes 4 Sysmiss 464 Did you burn the waste on the last scheduled day? 7 464 0 1 0 No 2 1 Yes 5 Sysmiss 464 What method does this facility use in the final disposal of sharps? 471 0 Burn incinerator (within the facility ground) 80 391 0 1 Open burning (within the facility ground) 80 391 0 1 Dump without burning (within the facility ground) 80 391 0 0 Remove off-site 80 391 0 1 Facility never has medical waste such as bandages 80 391 0 0 Other 80 391 0 0 Don't know 80 391 0 0 Refuse to answer 80 391 0 0 Specify other. 471 0 Ask to see the place used by the facility for disposal of SHARPS waste and indic 80 391 1 4 1 No waste visible 18 2 Waste visible but protected area 36 3 Waste visible not protected 23 4 Waste site not inspected 3 5 Other 0 6 Don't know 0 7 Refuse to answer 0 Sysmiss 391 Specify other. 471 0 Do you keep vaccines at this facility at all times? 80 391 0 1 0 No 61 1 Yes 19 Sysmiss 391 label 0 471 Measles vaccine and diluents 19 452 1 4 1 At least one observed (AND non-expired) 15 2 At least one observed (But expired/VVM Szazis Stage 3 above) 0 3 Available but not observed 0 4 Not available today 4 5 Never available 0 Sysmiss 452 Diphteria + pertussis + tetanus vaccine (DPT/Trivalent) 19 452 1 5 1 At least one observed (AND non-expired) 6 2 At least one observed (But expired/VVM Szazis Stage 3 above) 0 3 Available but not observed 0 4 Not available today 12 5 Never available 1 Sysmiss 452 Hep B vaccine 19 452 1 4 1 At least one observed (AND non-expired) 16 2 At least one observed (But expired/VVM Szazis Stage 3 above) 0 3 Available but not observed 0 4 Not available today 3 5 Never available 0 Sysmiss 452 Pneumococcal (PCV 10) vaccines 19 452 4 5 1 At least one observed (AND non-expired) 0 2 At least one observed (But expired/VVM Szazis Stage 3 above) 0 3 Available but not observed 0 4 Not available today 12 5 Never available 7 Sysmiss 452 Polio vaccine (OPV) (live attenuated) 19 452 1 1 1 At least one observed (AND non-expired) 19 2 At least one observed (But expired/VVM Szazis Stage 3 above) 0 3 Available but not observed 0 4 Not available today 0 5 Never available 0 Sysmiss 452 BCG vaccine and diluent 19 452 1 4 1 At least one observed (AND non-expired) 14 2 At least one observed (But expired/VVM Szazis Stage 3 above) 0 3 Available but not observed 0 4 Not available today 5 5 Never available 0 Sysmiss 452 Yellow fever 19 452 1 4 1 At least one observed (AND non-expired) 15 2 At least one observed (But expired/VVM Szazis Stage 3 above) 0 3 Available but not observed 0 4 Not available today 4 5 Never available 0 Sysmiss 452 DPT-HepB-Hib vaccine (Pentavalent) (SKIP to Q53) 19 452 1 4 1 At least one observed (AND non-expired) 13 2 At least one observed (But expired/VVM Szazis Stage 3 above) 0 3 Available but not observed 0 4 Not available today 6 5 Never available 0 Sysmiss 452 Do you have contact phone numbers of any external security sources e.g. police, 80 391 0 1 0 No 52 1 Yes 28 Sysmiss 391 Can I see the contact phone Number? 28 443 0 1 0 No 2 1 Yes 26 Sysmiss 443 Please indicate the date of the visit (indicated on the case file) 62 409 2013-01-01 2015-02-11 Please indicate the date of the visit (indicated on the case file) 64 407 2012-07-27 2015-02-11 Please indicate the date of the visit (indicated on the case file) 65 406 2010-10-15 2015-02-11 Please indicate the date of the visit (indicated on the case file) 65 406 2012-06-27 2015-02-11 Please indicate the date of the visit (indicated on the case file) 63 408 2012-07-27 2015-02-11 Date/time submitted 0 471 Quality Improvement SURE-P Program baseline assessment report 0 471 0 No 0 1 Yes 0 Sysmiss 471 Quality Improvement SURE-P Program quality improvement plan 0 471 0 No 0 1 Yes 0 Sysmiss 471 Mentoring visits by Quality Improvement SURE-P Program quality improvement agent 0 471 0 No 0 1 Yes 0 Sysmiss 471 Did you keep the Quality Improvement SURE-P Program baseline report? 0 471 0 No 0 1 Yes 0 Sysmiss 471 Can we see it? 0 471 0 No 0 1 Yes, seen 0 5 Yes, but not seen 0 Sysmiss 471 Did the baseline report lead you to make any changes in the facility or how it i 0 471 0 No 0 1 Yes 0 Sysmiss 471 How many changes did you make to the running of this facility due to the baselin 0 471 1 None 0 2 A few 0 3 Many 0 Sysmiss 471 What was the most important change? 471 0 Do you still have the Quality Improvement SURE-P Program quality improvement pla 0 471 0 No 0 1 Yes 0 Sysmiss 471 Can we see it? 0 471 0 No 0 1 Yes, seen 0 5 Yes, but not seen 0 Sysmiss 471 During the program, about how many times per month were you visited by the quali 0 471 1 None 0 2 A few 0 3 Many 0 Sysmiss 471 What was the most important change? 471 0 How often were you visited by the quality improvement agents (per month)? 0 471 1 A few times a week 0 2 Once a week 0 3 A few times a month 0 4 Once a month 0 5 Less than once a month 0 Sysmiss 471 On a scale from 1 to 5, how useful do you think was the ongoing mentoring suppor 0 471 -9 Refuse to answer. 0 -8 I don't know. 0 1 1 0 2 2 0 3 3 0 4 4 0 5 5 0 Sysmiss 471 What was the main reason why the mentoring was not useful? 471 0 What was the main reason why the mentoring was useful? 471 0 Would you rather receive more mentoring visits or fewer mentoring visits? 0 471 1 More 0 2 Fewer 0 3 The same amount 0 Sysmiss 471 If the government were to launch a program to improve the quality of care at fac 471 0 What are the two most important obstacles to improve quality of care at this PHC 471 0 On a scale from 1 to 5, how useful was the entire program to help improve qualit 0 471 -9 Refuse to answer. 0 -8 I don't know. 0 1 1 0 2 2 0 3 3 0 4 4 0 5 5 0 Sysmiss 471 Surveyround 471 0 1 6 no obstacles 160 311 0 1 SURE-P treatment status 471 0 Round 1 471 0 0 1 Round 2 471 0 0 1 Round 3 471 0 0 1 Round 4 471 0 0 1 Round 5 471 0 0 1 Round 6 471 0 0 1 Round 7 471 0 0 0 In what state are we? 2804 0 100 600 100 Anambra 437 200 Bauchi 589 300 Cross River 323 400 Ekiti 429 500 Kebbi 545 600 Niger 481 Which clinic is this? 2804 0 1 80 Which survey round is this? (1-7) 2804 0 1000 8000 1000 Round 1 334 2000 Round 2 360 3000 Round 3 356 4000 Round 4 344 5000 Round 5 343 6000 Round 6 272 7000 Round 7 370 8000 Round 8 425 Which exit interview is this today for this clinic? 2804 0 10000 50000 10000 1) First 901 20000 2) Second 842 30000 3) Third 741 40000 4) Fourth 225 50000 5) Fifth 95 To the enumerator: What is your name? 2804 0 1 18 To the enumerator: Who is your quality checker? 2804 0 1 18 Note to enumerator: Record gender of the respondent (if it is a parent with a ch 2804 0 0 1 0 female 2350 1 male 454 What is your age? (in completed years) 2804 0 -9 92 What is your main profession? 2804 0 1 13 -9 Refuse to answer 0 -8 I don't know 0 1 Housewife/man 1279 2 Farmer 367 3 Nurse 4 4 Teacher/care-giver 106 5 Vendor/tradesman 398 6 Skilled labourer (for example tailor) 291 7 Military/para-military 2 8 No job/unemployed 107 9 Government worker 51 10 Private worker 23 11 Pensioner 26 12 Student 147 13 Other 3 Specify other. 2804 0 What is your highest level of education? 2804 0 -9 13 -9 Refuse to answer 2 -8 I don't know 0 1 No completed education 777 2 Primary School 506 3 Secondary School 765 4 University 63 5 PhD - Doctorate 1 6 Vocational education 3 7 Arabic education 444 8 OND 70 9 HND 29 10 NCE 136 11 Msc/MA 3 12 Adult Literacy Education 4 13 Other 1 Specify other. 2804 0 What is your marital status? 2804 0 -8 5 -9 Refuse to answer 0 -8 I don't know 1 1 Married 2518 2 Single 220 3 Widowed 56 4 Divorced 7 5 Other 2 Specify other. 2804 0 Did you bring a child/youth with you today to the clinic? (Ages 0 - 17) 2804 0 0 1 0 No 1435 1 Yes 1369 Is the principal reason for this visit related to your health or your child's he 1369 1435 1 3 1 My child's health 1203 2 My own health 153 3 other 13 Sysmiss 1435 Specify other. 2804 0 Please tell me the reason of your visit today? 2804 0 What was the MOST IMPORTANT reason you chose this health facility today instead 2804 0 Specify other. 2804 0 I am sick/ill - I have pain 1588 1216 0 1 I came to pick up medicine 1588 1216 0 1 Vaccination 1588 1216 0 1 Antenatal care(ANC)/other pregnancy-related issues 1588 1216 0 1 Birth 1588 1216 0 1 Post-natal care 1588 1216 0 1 Pregnancy test 1588 1216 0 1 Regular check-up 1588 1216 0 1 Other 1588 1216 0 0 Specify other. 2804 0 What was the diagnosis? 2804 0 When did the symptoms start? 817 1987 -9 10 -9 Refuse to answer 2 -8 I don't know 2 1 Today 44 2 Yesterday 186 3 3 days ago 246 4 This week 124 5 Last week 137 6 Last month 30 7 A couple of months 23 8 A year 5 9 More than a year 15 10 I do not remember 3 Sysmiss 1987 Is this your first visit for this condition? 680 2124 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 252 1 Yes 428 Sysmiss 2124 Do you experience fever? 817 1987 -9 1 -9 Refuse to answer 2 -8 I don't know 1 0 No 183 1 Yes 631 Sysmiss 1987 Do you experience weakness? 817 1987 -9 1 -9 Refuse to answer 2 -8 I don't know 0 0 No 190 1 Yes 625 Sysmiss 1987 Do you experience chills? 817 1987 -9 1 -9 Refuse to answer 2 -8 I don't know 0 0 No 483 1 Yes 332 Sysmiss 1987 Do you experience fatigue? 817 1987 -9 1 -9 Refuse to answer 2 -8 I don't know 1 0 No 512 1 Yes 302 Sysmiss 1987 Do you experience sweats? 817 1987 -9 1 -9 Refuse to answer 2 -8 I don't know 0 0 No 550 1 Yes 265 Sysmiss 1987 Do you experience shaking/convulsion/tremor? 817 1987 -9 1 -9 Refuse to answer 2 -8 I don't know 0 0 No 714 1 Yes 101 Sysmiss 1987 Do you experience diarrhea? 817 1987 -9 1 -9 Refuse to answer 2 -8 I don't know 0 0 No 708 1 Yes 107 Sysmiss 1987 Do you experience vomitting? 817 1987 -9 1 -9 Refuse to answer 2 -8 I don't know 0 0 No 525 1 Yes 290 Sysmiss 1987 Do you experience a cough or cold? 817 1987 -9 1 -9 Refuse to answer 2 -8 I don't know 0 0 No 449 1 Yes 366 Sysmiss 1987 Do you have an injury? 817 1987 -9 1 -9 Refuse to answer 2 -8 I don't know 0 0 No 765 1 Yes 50 Sysmiss 1987 Do you experience skin problems? 817 1987 -9 1 -9 Refuse to answer 2 -8 I don't know 0 0 No 779 1 Yes 36 Sysmiss 1987 Do you experience pain? 817 1987 -9 1 -9 Refuse to answer 2 -8 I don't know 0 0 No 221 1 Yes 594 Sysmiss 1987 Where is your pain? 2804 0 Specify other. 2804 0 Do you experience other symptoms? 817 1987 -9 1 -9 Refuse to answer 3 -8 I don't know 3 0 No 738 1 Yes 73 Sysmiss 1987 What is your other symptom? 2804 0 How is your overall health today? 1588 1216 1 5 -8 Refuse to answer 0 1 Very good 334 2 Good 521 3 Average 592 4 Bad 130 5 Very bad 11 Sysmiss 1216 Is this the first time for you to visit this health facility ever? 153 2651 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 132 1 Yes 21 Sysmiss 2651 How many times have you visited this clinic? 132 2672 -9 40 Is this the first time for you to visit this health facility so far in this year 132 2672 -9 1 -9 Refuse to answer 1 -8 I don't know 0 0 No 103 1 Yes 28 Sysmiss 2672 How old is your child? 1203 1601 0 17 Please tell me the reason of your child's visit today? 2804 0 First visit: My child is sick/ill or has pain 1203 1601 0 1 Follow-up visit: My child is sick/ill or has pain 1203 1601 0 1 Vaccination 1203 1601 0 1 Antenatal care(ANC)/other pregnancy-related issues 1203 1601 0 1 Birth 1203 1601 0 0 Post-natal care 1203 1601 0 1 Pregnancy test 1203 1601 0 1 Regular check-up 1203 1601 0 1 I came to pick up medicine 1203 1601 0 1 Other 1203 1601 0 0 Specify other. 2804 0 When did the symptoms start? 961 1843 -9 10 -9 Refuse to answer 1 -8 I don't know 0 1 Today 42 2 Yesterday 329 3 3 days ago 310 4 This week 98 5 Last week 149 6 Last month 23 7 A couple of months 4 8 A year 1 9 More than a year 3 10 I do not remember 1 Sysmiss 1843 What was the diagnosis? 2804 0 Is this the child's first visit for this condition? 616 2188 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 106 1 Yes 510 Sysmiss 2188 Does your child experience ...? 0 2804 -9 Refuse to answer 0 -8 I don't know 0 0 No 0 1 Yes 0 Sysmiss 2804 fever? 961 1843 -8 1 -9 Refuse to answer 0 -8 I don't know 1 0 No 142 1 Yes 818 Sysmiss 1843 weakness? 961 1843 -8 1 -9 Refuse to answer 0 -8 I don't know 10 0 No 317 1 Yes 634 Sysmiss 1843 chills? 961 1843 -8 1 -9 Refuse to answer 0 -8 I don't know 9 0 No 672 1 Yes 280 Sysmiss 1843 fatigue? 961 1843 -8 1 -9 Refuse to answer 0 -8 I don't know 15 0 No 757 1 Yes 189 Sysmiss 1843 sweats? 961 1843 -8 1 -9 Refuse to answer 0 -8 I don't know 3 0 No 643 1 Yes 315 Sysmiss 1843 shaking/convulsion/tremor? 961 1843 -8 1 -9 Refuse to answer 0 -8 I don't know 3 0 No 715 1 Yes 243 Sysmiss 1843 diarrhea? 961 1843 -8 1 -9 Refuse to answer 0 -8 I don't know 4 0 No 647 1 Yes 310 Sysmiss 1843 vomitting? 961 1843 -8 1 -9 Refuse to answer 0 -8 I don't know 1 0 No 430 1 Yes 530 Sysmiss 1843 a cough or cold? 961 1843 -8 1 -9 Refuse to answer 0 -8 I don't know 1 0 No 419 1 Yes 541 Sysmiss 1843 an injury? 961 1843 -8 1 -9 Refuse to answer 0 -8 I don't know 2 0 No 926 1 Yes 33 Sysmiss 1843 skin problems? 961 1843 -8 1 -9 Refuse to answer 0 -8 I don't know 1 0 No 883 1 Yes 77 Sysmiss 1843 pain? 961 1843 -8 1 -9 Refuse to answer 0 -8 I don't know 2 0 No 620 1 Yes 339 Sysmiss 1843 other symptoms? 961 1843 -9 1 -9 Refuse to answer 1 -8 I don't know 6 0 No 923 1 Yes 31 Sysmiss 1843 How is your child's overall health today? 1203 1601 1 5 -8 Refuse to answer 0 1 Very good 210 2 Good 286 3 Average 550 4 Bad 145 5 Very bad 12 Sysmiss 1601 Is this the first time for your child to visit this health facility ever? 1203 1601 -8 1 -9 Refuse to answer 0 -8 I don't know 1 0 No 859 1 Yes 343 Sysmiss 1601 How many times has your child been to this clinic? 859 1945 -9 30 Is this the first time for your child to visit this health facility so far in TH 859 1945 -8 1 -9 Refuse to answer 0 -8 I don't know 1 0 No 676 1 Yes 182 Sysmiss 1945 How long did it take you to reach this facility? (in minutes) 2804 0 -9 300 What was your primary mode of transportation? 2804 0 1 8 -9 Refuse to answer 0 -8 I don't know 0 1 By foot 1534 2 By car 114 3 By bus/danfo 28 4 By bicycle 32 5 Motocycle/bike 1079 6 Tricycle/keke napep 13 7 Donkey or camel 1 8 Other 3 Specify other. 2804 0 How much did it cost for you to travel to the health facility? (in Naira) 1234 1570 0 1500 Please re-enter the value: How much did it cost for you to travel to the health 1234 1570 0 1500 At what time did you arrive at the facility today? 2804 0 How long did you wait in the health facility before being seen for consultation? 2804 0 -8 360 Who attended to you today? (main person) 2804 0 -8 5 -9 Refuse to answer 0 -8 I don't know 40 1 Doctor 113 2 Nurse 1061 3 Midwife 480 4 Community/VHW 1072 5 Other (specify) 38 Specify other. 2804 0 How long did you spend with the ${staffperson} during the consultation? (in min 2804 0 -8 180 How much did you pay for this consultation? (in Naira) 2804 0 -9 2500 Please re-enter this value: How much did you pay for this consultation? (in Nair 2804 0 -9 2500 Was a laboratory test ordered today? 2804 0 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 2103 1 Yes 701 For what was the laboratory test ordered today? 2804 0 Malaria 701 2103 0 1 HIV/AIDS 701 2103 0 1 Blood sugar 701 2103 0 1 Haemoglobin 701 2103 0 1 Pregnancy-related test 701 2103 0 1 Tyhoid 701 2103 0 1 Urine test 701 2103 0 1 Chest examination 701 2103 0 0 Other 701 2103 0 1 I don't know 701 2103 0 1 Refuse to answer 701 2103 0 0 Specify other. 2804 0 Did the ${staffperson} explain why you need to get the test done? 701 2103 -9 1 -9 Refuse to answer 1 -8 I don't know 0 0 No 138 1 Yes 562 Sysmiss 2103 Did you get any results today? 701 2103 -8 1 -9 Refuse to answer 0 -8 I don't know 23 0 No 35 1 Yes 643 Sysmiss 2103 How long did you wait (in between the test and the result)? 643 2161 -8 90 How much did you pay for the lab tests? (all together in Naira) 701 2103 -8 3000 Please re-enter to confirm: How much did you pay for the lab tests? (all togethe 701 2103 -8 3000 Did the ${staffperson} prescribe any medicine today? 2804 0 -8 1 -9 Refuse to answer 0 -8 I don't know 1 0 No 585 1 Yes 2218 Did the ${staffperson} or pharmacist explain how you are supposed to take your 2218 586 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 64 1 Yes 2154 Sysmiss 586 Were medicines dispensed to you today? 2218 586 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 173 1 Yes 2045 Sysmiss 586 How much did the medicine cost you? 2045 759 -99 5000 Why was the medicine not dispensed? 173 2631 -8 4 -9 Refuse to answer 0 -8 I don't know 13 1 There was no medicine in stock 137 2 The patient did not need medicine 1 3 The patient refused to take medicine 1 4 Other 21 Sysmiss 2631 Specify other. 2804 0 Did the ${staffperson} tell you where you can receive the medicine? 173 2631 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 20 1 Yes 153 Sysmiss 2631 Are you currently covered under a health insurance scheme such as NHIS? 2804 0 -9 1 -9 Refuse to answer 1 -8 I don't know 41 0 No 2745 1 Yes 17 What is the total amount of money you spent at the PHC today? 2804 0 -9 5500 Please re-enter: What is the total amount of money you spent at the PHC today? 2804 0 -9 5500 Are you pregnant now? 24 2780 -8 1 -9 Refuse to answer 0 -8 I don't know 1 0 No 1 1 Yes 22 Sysmiss 2780 In what week of pregnancy are you in? 22 2782 -8 36 Have you had any complications during your pregnancy? 22 2782 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 18 1 Yes 4 Sysmiss 2782 How many times have you come to the PHC since you became pregnant? (not includin 22 2782 0 12 Can you tell us the name of the ${staffperson} that provided care for you today 2804 0 1 2 1 Yes gave name 963 2 No could not give name 1841 Did this ${staffperson} care for you at this clinic at a previous visit? 991 1813 -9 1 -9 Refuse to answer 1 -8 I don't know 17 0 No 389 1 Yes 584 Sysmiss 1813 If no which health worker did you prefer? 389 2415 1 3 1 Today's health worker 68 2 Last time's health worker 37 3 Same 284 Sysmiss 2415 Did the ${staffperson} ask you any questions about how the child feels or his o 1203 1601 0 2 -9 Refuse to answer 0 -8 I don't know 0 0 No 141 1 Yes 1003 2 Not applicable 59 Sysmiss 1601 Did the ${staffperson} ask you about the child's health history? 1203 1601 0 2 -9 Refuse to answer 0 -8 I don't know 0 0 No 257 1 Yes 895 2 Not applicable 51 Sysmiss 1601 Did the ${staffperson} ask you about your child's lifestyle for example eating 1203 1601 -8 2 -9 Refuse to answer 0 -8 I don't know 1 0 No 326 1 Yes 824 2 Not applicable 52 Sysmiss 1601 What instructions did you receive about how to take care of your child's health 2804 0 I was informed about appropriate behaviors (doses for example) 1203 1601 0 1 I was informed to come back for a follow up visit 1203 1601 0 1 I was given a schedule for taking my medications 1203 1601 0 1 None 1203 1601 0 1 Other 1203 1601 0 1 I don't know 1203 1601 0 0 Refuse to answer 1203 1601 0 1 Specify other. 2804 0 Did the ${staffperson} refer your child to a specialist or the hospital? 1203 1601 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 1190 1 Yes 13 Sysmiss 1601 Did the ${staffperson} ask you any questions about how you feel or your pain le 1410 1394 0 2 -9 Refuse to answer 0 -8 I don't know 0 0 No 91 1 Yes 1264 2 Not applicable 55 Sysmiss 1394 Did the ${staffperson} ask you about your health history? 1410 1394 0 2 -9 Refuse to answer 0 -8 I don't know 0 0 No 365 1 Yes 992 2 Not applicable 53 Sysmiss 1394 Did the ${staffperson} ask you about your lifestyle for example your eating hab 1410 1394 0 2 -9 Refuse to answer 0 -8 I don't know 0 0 No 576 1 Yes 792 2 Not applicable 42 Sysmiss 1394 What instructions did you receive about how to take care of your health conditio 2804 0 I was informed about appropriate behaviors (doses for example) 1410 1394 0 1 I was informed to come back for a follow up visit 1410 1394 0 1 I was given a schedule for taking my medications 1410 1394 0 1 None 1410 1394 0 1 Other 1410 1394 0 1 I don't know 1410 1394 0 0 Refuse to answer 1410 1394 0 0 Specify other. 2804 0 Did the ${staffperson} refer you to a specialist or the hospital? 1410 1394 0 1 -9 Refuse to answer 0 -8 I don't know 0 0 No 1384 1 Yes 26 Sysmiss 1394 Was the ${staffperson} friendly and approachable? 2804 0 -9 1 -9 Refuse to answer 3 -8 I don't know 13 0 No 38 1 Yes 2750 Did the ${staffperson} listen carefully to what you said? 2804 0 -9 1 -9 Refuse to answer 1 -8 I don't know 2 0 No 20 1 Yes 2781 Did the ${staffperson} use any medical terms that you did not understand? 2804 0 -8 1 -9 Refuse to answer 0 -8 I don't know 12 0 No 2738 1 Yes 54 EXAMPLE: Nigeria is good at football. Do you agree or disagree? 2224 580 -9 3 -9 Refuse to answer 28 -8 I don't know 457 1 agree 1622 2 disagree 71 3 neither agree nor disagree 46 Sysmiss 580 Do you agree moderately or strongly? 1622 1182 0 1 0 I agree moderately 159 1 I agree strongly 1463 Sysmiss 1182 Do you disagree moderately or strongly? 71 2733 0 1 0 I disagree moderately 26 1 I disagree strongly 45 Sysmiss 2733 The lab fees today were reasonable. 66 2738 -8 3 -9 Refuse to answer 0 -8 I don't know 1 1 agree 58 2 disagree 6 3 neither agree nor disagree 1 Sysmiss 2738 Do you agree moderately or strongly? 58 2746 0 1 0 I agree moderately 11 1 I agree strongly 47 Sysmiss 2746 Do you disagree moderately or strongly? 6 2798 1 1 0 I disagree moderately 0 1 I disagree strongly 6 Sysmiss 2798 This health facility is clean. 931 1873 1 3 -9 Refuse to answer 0 -8 I don't know 0 1 agree 866 2 disagree 55 3 neither agree nor disagree 10 Sysmiss 1873 Do you agree moderately or strongly? 866 1938 0 1 0 I agree moderately 135 1 I agree strongly 731 Sysmiss 1938 Do you disagree moderately or strongly? 55 2749 0 1 0 I disagree moderately 22 1 I disagree strongly 33 Sysmiss 2749 The waiting time was appropriate 931 1873 -8 3 -9 Refuse to answer 0 -8 I don't know 1 1 agree 854 2 disagree 68 3 neither agree nor disagree 8 Sysmiss 1873 Do you agree moderately or strongly? 854 1950 0 1 0 I agree moderately 82 1 I agree strongly 772 Sysmiss 1950 Do you disagree moderately or strongly? 68 2736 0 1 0 I disagree moderately 16 1 I disagree strongly 52 Sysmiss 2736 The fees for medicines or drugs you received today were reasonable. 426 2378 -8 3 -9 Refuse to answer 0 -8 I don't know 5 1 agree 374 2 disagree 39 3 neither agree nor disagree 8 Sysmiss 2378 Do you agree moderately or strongly? 374 2430 0 1 0 I agree moderately 50 1 I agree strongly 324 Sysmiss 2430 Do you disagree moderately or strongly? 39 2765 0 1 0 I disagree moderately 10 1 I disagree strongly 29 Sysmiss 2765 The staff at this facility is courteous and respectful. 931 1873 -8 3 -9 Refuse to answer 0 -8 I don't know 2 1 agree 915 2 disagree 8 3 neither agree nor disagree 6 Sysmiss 1873 Do you agree moderately or strongly? 915 1889 0 1 0 I agree moderately 49 1 I agree strongly 866 Sysmiss 1889 Do you disagree moderately or strongly? 8 2796 0 1 0 I disagree moderately 3 1 I disagree strongly 5 Sysmiss 2796 The ${staffperson} did a good job of explaining your condition. 931 1873 -9 3 -9 Refuse to answer 2 -8 I don't know 10 1 agree 893 2 disagree 17 3 neither agree nor disagree 9 Sysmiss 1873 Do you agree moderately or strongly? 893 1911 0 1 0 I agree moderately 43 1 I agree strongly 850 Sysmiss 1911 Do you disagree moderately or strongly? 17 2787 0 1 0 I disagree moderately 5 1 I disagree strongly 12 Sysmiss 2787 You had enough privacy during your visit. 931 1873 -9 3 -9 Refuse to answer 1 -8 I don't know 5 1 agree 822 2 disagree 86 3 neither agree nor disagree 17 Sysmiss 1873 Do you agree moderately or strongly? 822 1982 0 1 0 I agree moderately 80 1 I agree strongly 742 Sysmiss 1982 Do you disagree moderately or strongly? 86 2718 0 1 0 I disagree moderately 27 1 I disagree strongly 59 Sysmiss 2718 The registration fees of this visit to the health facility were reasonable. 931 1873 -8 4 -9 Refuse to answer 0 -8 I don't know 18 1 agree 335 2 disagree 11 3 there were no fees 565 4 neither agree nor disagree 2 Sysmiss 1873 Do you agree moderately or strongly? 335 2469 0 1 0 I agree moderately 16 1 I agree strongly 319 Sysmiss 2469 Do you disagree moderately or strongly? 11 2793 0 1 0 I disagree moderately 3 1 I disagree strongly 8 Sysmiss 2793 The ${staffperson} spent a sufficient amount of time with you. 931 1873 1 3 -9 Refuse to answer 0 -8 I don't know 0 1 agree 899 2 disagree 21 3 neither agree nor disagree 11 Sysmiss 1873 Do you agree moderately or strongly? 899 1905 0 1 0 I agree moderately 69 1 I agree strongly 830 Sysmiss 1905 Do you disagree moderately or strongly? 21 2783 0 1 0 I disagree moderately 7 1 I disagree strongly 14 Sysmiss 2783 The hours this facility is open are adequate to meet your needs. 931 1873 -8 3 -9 Refuse to answer 0 -8 I don't know 37 1 agree 873 2 disagree 11 3 neither agree nor disagree 10 Sysmiss 1873 Do you agree moderately or strongly? 873 1931 0 1 0 I agree moderately 59 1 I agree strongly 814 Sysmiss 1931 Do you disagree moderately or strongly? 11 2793 0 1 0 I disagree moderately 4 1 I disagree strongly 7 Sysmiss 2793 You completely trust the ${staffperson}' decisions about medical treatment in t 931 1873 -8 3 -9 Refuse to answer 0 -8 I don't know 16 1 agree 904 2 disagree 7 3 neither agree nor disagree 4 Sysmiss 1873 Do you agree moderately or strongly? 904 1900 0 1 0 I agree moderately 27 1 I agree strongly 877 Sysmiss 1900 Do you disagree moderately or strongly? 7 2797 0 1 0 I disagree moderately 3 1 I disagree strongly 4 Sysmiss 2797 The lab fees today were too expensive. 78 2726 -8 3 -9 Refuse to answer 0 -8 I don't know 1 1 agree 19 2 disagree 53 3 neither agree nor disagree 5 Sysmiss 2726 Do you agree moderately or strongly? 19 2785 0 1 0 I agree moderately 9 1 I agree strongly 10 Sysmiss 2785 Do you disagree moderately or strongly? 53 2751 0 1 0 I disagree moderately 11 1 I disagree strongly 42 Sysmiss 2751 This health facility is dirty. 939 1865 -8 3 -9 Refuse to answer 0 -8 I don't know 2 1 agree 110 2 disagree 819 3 neither agree nor disagree 8 Sysmiss 1865 Do you agree moderately or strongly? 110 2694 0 1 0 I agree moderately 46 1 I agree strongly 64 Sysmiss 2694 Do you disagree moderately or strongly? 819 1985 0 1 0 I disagree moderately 108 1 I disagree strongly 711 Sysmiss 1985 The waiting time was too long 939 1865 -8 3 -9 Refuse to answer 0 -8 I don't know 1 1 agree 126 2 disagree 801 3 neither agree nor disagree 11 Sysmiss 1865 Do you agree moderately or strongly? 126 2678 0 1 0 I agree moderately 34 1 I agree strongly 92 Sysmiss 2678 Do you disagree moderately or strongly? 801 2003 0 1 0 I disagree moderately 76 1 I disagree strongly 725 Sysmiss 2003 The fees for medicines or drugs you received today were too expensive. 432 2372 -8 3 -9 Refuse to answer 0 -8 I don't know 2 1 agree 76 2 disagree 337 3 neither agree nor disagree 17 Sysmiss 2372 Do you agree moderately or strongly? 76 2728 0 1 0 I agree moderately 32 1 I agree strongly 44 Sysmiss 2728 Do you disagree moderately or strongly? 337 2467 0 1 0 I disagree moderately 43 1 I disagree strongly 294 Sysmiss 2467 The staff at this facility is rude and disrespectful. 939 1865 -9 3 -9 Refuse to answer 1 -8 I don't know 4 1 agree 27 2 disagree 900 3 neither agree nor disagree 7 Sysmiss 1865 Do you agree moderately or strongly? 27 2777 0 1 0 I agree moderately 7 1 I agree strongly 20 Sysmiss 2777 Do you disagree moderately or strongly? 900 1904 0 1 0 I disagree moderately 31 1 I disagree strongly 869 Sysmiss 1904 The ${staffperson} did a poor job of explaining your condition. 939 1865 -9 3 -9 Refuse to answer 1 -8 I don't know 1 1 agree 46 2 disagree 883 3 neither agree nor disagree 8 Sysmiss 1865 Do you agree moderately or strongly? 46 2758 0 1 0 I agree moderately 8 1 I agree strongly 38 Sysmiss 2758 Do you disagree moderately or strongly? 883 1921 0 1 0 I disagree moderately 41 1 I disagree strongly 842 Sysmiss 1921 You had too little privacy during your visit. 939 1865 -9 3 -9 Refuse to answer 1 -8 I don't know 3 1 agree 175 2 disagree 743 3 neither agree nor disagree 17 Sysmiss 1865 Do you agree moderately or strongly? 175 2629 0 1 0 I agree moderately 46 1 I agree strongly 129 Sysmiss 2629 Do you disagree moderately or strongly? 743 2061 0 1 0 I disagree moderately 72 1 I disagree strongly 671 Sysmiss 2061 The registration fees of this visit to the health facility were too expensive. 939 1865 -8 4 -9 Refuse to answer 0 -8 I don't know 16 1 agree 18 2 disagree 328 3 there were no fees 572 4 neither agree nor disagree 5 Sysmiss 1865 Do you agree moderately or strongly? 18 2786 1 1 0 I agree moderately 0 1 I agree strongly 18 Sysmiss 2786 Do you disagree moderately or strongly? 328 2476 0 1 0 I disagree moderately 17 1 I disagree strongly 311 Sysmiss 2476 The ${staffperson} spent too little time with you. 939 1865 -9 3 -9 Refuse to answer 1 -8 I don't know 2 1 agree 106 2 disagree 805 3 neither agree nor disagree 25 Sysmiss 1865 Do you agree moderately or strongly? 106 2698 0 1 0 I agree moderately 22 1 I agree strongly 84 Sysmiss 2698 Do you disagree moderately or strongly? 805 1999 0 1 0 I disagree moderately 77 1 I disagree strongly 728 Sysmiss 1999 The hours this facility is open are too short to meet your needs. 939 1865 -9 3 -9 Refuse to answer 1 -8 I don't know 32 1 agree 71 2 disagree 825 3 neither agree nor disagree 10 Sysmiss 1865 Do you agree moderately or strongly? 71 2733 0 1 0 I agree moderately 16 1 I agree strongly 55 Sysmiss 2733 Do you disagree moderately or strongly? 825 1979 0 1 0 I disagree moderately 41 1 I disagree strongly 784 Sysmiss 1979 You do not completely trust the ${staffperson} ' decisions about medical treatm 939 1865 -9 3 -9 Refuse to answer 3 -8 I don't know 8 1 agree 82 2 disagree 842 3 neither agree nor disagree 4 Sysmiss 1865 Do you agree moderately or strongly? 82 2722 0 1 0 I agree moderately 11 1 I agree strongly 71 Sysmiss 2722 Do you disagree moderately or strongly? 842 1962 0 1 0 I disagree moderately 33 1 I disagree strongly 809 Sysmiss 1962 The lab fees today were reasonable. 14 2790 1 2 -9 Refuse to answer 0 -8 I don't know 0 1 agree 12 2 disagree 2 3 neither agree nor disagree 0 Sysmiss 2790 The lab fees today were too expensive. 22 2782 1 2 -9 Refuse to answer 0 -8 I don't know 0 1 agree 6 2 disagree 16 3 neither agree nor disagree 0 Sysmiss 2782 Do you agree moderately or strongly? 18 2786 0 1 0 I agree moderately 3 1 I agree strongly 15 Sysmiss 2786 Do you disagree moderately or strongly? 18 2786 0 1 0 I disagree moderately 2 1 I disagree strongly 16 Sysmiss 2786 This health facility is clean. 191 2613 -8 2 -9 Refuse to answer 0 -8 I don't know 1 1 agree 177 2 disagree 13 3 neither agree nor disagree 0 Sysmiss 2613 This health facility is dirty. 161 2643 1 3 -9 Refuse to answer 0 -8 I don't know 0 1 agree 16 2 disagree 144 3 neither agree nor disagree 1 Sysmiss 2643 Do you agree moderately or strongly? 193 2611 0 1 0 I agree moderately 23 1 I agree strongly 170 Sysmiss 2611 Do you disagree moderately or strongly? 157 2647 0 1 0 I disagree moderately 18 1 I disagree strongly 139 Sysmiss 2647 The waiting time was appropriate 175 2629 -8 2 -9 Refuse to answer 0 -8 I don't know 1 1 agree 159 2 disagree 15 3 neither agree nor disagree 0 Sysmiss 2629 The waiting time was too long 177 2627 1 3 -9 Refuse to answer 0 -8 I don't know 0 1 agree 31 2 disagree 143 3 neither agree nor disagree 3 Sysmiss 2627 Do you agree moderately or strongly? 190 2614 0 1 0 I agree moderately 29 1 I agree strongly 161 Sysmiss 2614 Do you disagree moderately or strongly? 158 2646 0 1 0 I disagree moderately 21 1 I disagree strongly 137 Sysmiss 2646 The fees for medicines or drugs you received today were reasonable. 72 2732 1 3 -9 Refuse to answer 0 -8 I don't know 0 1 agree 66 2 disagree 5 3 neither agree nor disagree 1 Sysmiss 2732 The fees for medicines or drugs you received today were too expensive. 81 2723 1 3 -9 Refuse to answer 0 -8 I don't know 0 1 agree 18 2 disagree 60 3 neither agree nor disagree 3 Sysmiss 2723 Do you agree moderately or strongly? 84 2720 0 1 0 I agree moderately 17 1 I agree strongly 67 Sysmiss 2720 Do you disagree moderately or strongly? 65 2739 0 1 0 I disagree moderately 8 1 I disagree strongly 57 Sysmiss 2739 The staff at this facility is courteous and respectful. 182 2622 -8 2 -9 Refuse to answer 0 -8 I don't know 1 1 agree 180 2 disagree 1 3 neither agree nor disagree 0 Sysmiss 2622 The staff at this facility is rude and disrespectful. 170 2634 -8 2 -9 Refuse to answer 0 -8 I don't know 1 1 agree 8 2 disagree 161 3 neither agree nor disagree 0 Sysmiss 2634 Do you agree moderately or strongly? 188 2616 0 1 0 I agree moderately 13 1 I agree strongly 175 Sysmiss 2616 Do you disagree moderately or strongly? 162 2642 0 1 0 I disagree moderately 7 1 I disagree strongly 155 Sysmiss 2642 The ${staffperson} did a good job of explaining your condition. 180 2624 -8 3 -9 Refuse to answer 0 -8 I don't know 2 1 agree 175 2 disagree 2 3 neither agree nor disagree 1 Sysmiss 2624 The ${staffperson} did a poor job of explaining your condition. 172 2632 -8 3 -9 Refuse to answer 0 -8 I don't know 2 1 agree 18 2 disagree 151 3 neither agree nor disagree 1 Sysmiss 2632 Do you agree moderately or strongly? 193 2611 0 1 0 I agree moderately 10 1 I agree strongly 183 Sysmiss 2611 Do you disagree moderately or strongly? 153 2651 0 1 0 I disagree moderately 10 1 I disagree strongly 143 Sysmiss 2651 You had enough privacy during your visit. 181 2623 -8 2 -9 Refuse to answer 0 -8 I don't know 2 1 agree 158 2 disagree 21 3 neither agree nor disagree 0 Sysmiss 2623 You had too little privacy during your visit. 171 2633 -8 3 -9 Refuse to answer 0 -8 I don't know 1 1 agree 53 2 disagree 115 3 neither agree nor disagree 2 Sysmiss 2633 Do you agree moderately or strongly? 211 2593 0 1 0 I agree moderately 19 1 I agree strongly 192 Sysmiss 2593 Do you disagree moderately or strongly? 136 2668 0 1 0 I disagree moderately 19 1 I disagree strongly 117 Sysmiss 2668 The registration fees of this visit to the health facility were reasonable. 157 2647 1 4 -9 Refuse to answer 0 -8 I don't know 0 1 agree 25 2 disagree 7 3 there were no fees 123 4 neither agree nor disagree 2 Sysmiss 2647 The registration fees of this visit to the health facility were too expensive. 195 2609 -8 4 -9 Refuse to answer 0 -8 I don't know 3 1 agree 7 2 disagree 43 3 there were no fees 141 4 neither agree nor disagree 1 Sysmiss 2609 Do you agree moderately or strongly? 32 2772 0 1 0 I agree moderately 2 1 I agree strongly 30 Sysmiss 2772 Do you disagree moderately or strongly? 50 2754 0 1 0 I disagree moderately 6 1 I disagree strongly 44 Sysmiss 2754 The ${staffperson} spent a sufficient amount of time with you. 172 2632 1 3 -9 Refuse to answer 0 -8 I don't know 0 1 agree 165 2 disagree 6 3 neither agree nor disagree 1 Sysmiss 2632 The ${staffperson} spent too little time with you. 180 2624 1 3 -9 Refuse to answer 0 -8 I don't know 0 1 agree 26 2 disagree 150 3 neither agree nor disagree 4 Sysmiss 2624 Do you agree moderately or strongly? 191 2613 0 1 0 I agree moderately 14 1 I agree strongly 177 Sysmiss 2613 Do you disagree moderately or strongly? 156 2648 0 1 0 I disagree moderately 13 1 I disagree strongly 143 Sysmiss 2648 The hours this facility is open are adequate to meet your needs. 175 2629 -8 3 -9 Refuse to answer 0 -8 I don't know 5 1 agree 163 2 disagree 4 3 neither agree nor disagree 3 Sysmiss 2629 The hours this facility is open are too short to meet your needs. 177 2627 -8 3 -9 Refuse to answer 0 -8 I don't know 3 1 agree 24 2 disagree 145 3 neither agree nor disagree 5 Sysmiss 2627 Do you agree moderately or strongly? 187 2617 0 1 0 I agree moderately 16 1 I agree strongly 171 Sysmiss 2617 Do you disagree moderately or strongly? 149 2655 0 1 0 I disagree moderately 8 1 I disagree strongly 141 Sysmiss 2655 You completely trust the ${staffperson}' decisions about medical treatment in t 178 2626 -8 3 -9 Refuse to answer 0 -8 I don't know 2 1 agree 174 2 disagree 0 3 neither agree nor disagree 2 Sysmiss 2626 You do not completely trust the ${staffperson} ' decisions about medical treatm 174 2630 1 3 -9 Refuse to answer 0 -8 I don't know 0 1 agree 38 2 disagree 134 3 neither agree nor disagree 2 Sysmiss 2630 Do you agree moderately or strongly? 212 2592 0 1 0 I agree moderately 2 1 I agree strongly 210 Sysmiss 2592 Do you disagree moderately or strongly? 134 2670 0 1 0 I disagree moderately 6 1 I disagree strongly 128 Sysmiss 2670 Last time someone in your household had an emergency health problem did they co 2804 0 -9 2 -9 Refuse to answer 4 -8 I don't know 201 0 No 395 1 Yes 1743 2 461 If your neighbor had the same symptoms as you do would recommend that they come 1398 1406 -9 1 -9 Refuse to answer 3 -8 I don't know 4 0 No 95 1 Yes 1296 Sysmiss 1406 If your neighbour had the same symptoms as you do would you recommend that they 1406 1398 -8 1 -9 Refuse to answer 0 -8 I don't know 7 0 No 940 1 Yes 459 Sysmiss 1398 Overall how would you rate your experience with this ${staffperson} today. 2804 0 1 5 1 Very good 1487 2 good 1222 3 average 85 4 poor 8 5 very poor 2 Are there private health care facilities near your home or work including priva 2804 0 -9 1 -9 Refuse to answer 2 -8 I don't know 22 0 No 1843 1 Yes 937 How many times did you visit any private health care facility in the past year ( 2804 0 -9 25 Did you ever go to a private facility to seek care (prompt with options: traditi 2804 0 -9 1 -9 Refuse to answer 13 -8 I don't know 3 0 No 2057 1 Yes 731 When was the last time you visited a private facility (prompt with options: trad 731 2073 -9 6 -9 Refuse to answer 1 -8 I don't know 23 1 Today 1 2 Yesterday 8 3 3-7 days ago 32 4 Last month 92 5 A couple of month ago 233 6 A year ago or more 341 Sysmiss 2073 What type of facility was it? 731 2073 1 4 1 Traditional healer 247 2 Private clinic 170 3 Private hospital 304 4 Other 10 Sysmiss 2073 Specify other. 2804 0 How does the care you received at that last visit at the private facility compar 731 2073 -9 4 -9 Refuse to answer 17 -8 I don't know 58 1 Private was better 91 2 Private was the same 201 3 Private was worse 341 4 Other 23 Sysmiss 2073 Specify other. 2804 0 Normally how would you rate your overall health? 334 2470 1 5 -9 Refuse to answer 0 -8 I don't know 0 1 Very healthy 137 2 Moderately healthy 132 3 Average 54 4 Moderately unhealthy 8 5 Very unhealthy 3 6 Other 0 Sysmiss 2470 Specify other. 2804 0 We may want to follow up and ask a few more questions in the future. Would it be 2804 0 -9 1 -9 Refuse to answer 12 -8 I don't know 19 0 No 1114 1 Yes 1659 In case we cannot reach you directly is there another person we could call to re 1721 1083 -9 1 -9 Refuse to answer 2 -8 I don't know 28 0 No 1336 1 Yes 355 Sysmiss 1083 Does your household have a radio? 2804 0 -9 1 -9 Refuse to answer 1 -8 I don't know 0 0 No 517 1 Yes 2286 Does your household have a television? 2804 0 -9 1 -9 Refuse to answer 4 -8 I don't know 0 0 No 1163 1 Yes 1637 Does your household have a mobile telephone? 2804 0 -9 1 -9 Refuse to answer 2 -8 I don't know 1 0 No 965 1 Yes 1836 Does your household have a non-mobile telephone (landline)? 2804 0 -9 1 -9 Refuse to answer 3 -8 I don't know 2 0 No 2789 1 Yes 10 Does your household have a refrigerator? 2804 0 -9 1 -9 Refuse to answer 3 -8 I don't know 0 0 No 2037 1 Yes 764 Does your household have a canoe? 2804 0 -9 1 -9 Refuse to answer 4 -8 I don't know 1 0 No 2728 1 Yes 71 Does your household have a bicycle? 2804 0 -9 1 -9 Refuse to answer 3 -8 I don't know 0 0 No 2016 1 Yes 785 Does your household have an animal-drawn cart? 2804 0 -9 1 -9 Refuse to answer 5 -8 I don't know 0 0 No 2521 1 Yes 278 Does your household have a motorcycle or a scooter? 2804 0 -9 1 -9 Refuse to answer 5 -8 I don't know 0 0 No 1433 1 Yes 1366 Does your household have a car or a truck? 2804 0 -9 1 -9 Refuse to answer 7 -8 I don't know 0 0 No 2336 1 Yes 461 Does your household have a boat with a motor? 2804 0 -9 1 -9 Refuse to answer 4 -8 I don't know 0 0 No 2681 1 Yes 119 Does your household have ownership of agricultural land (everywhere)? 2804 0 -9 1 -9 Refuse to answer 3 -8 I don't know 2 0 No 510 1 Yes 2289 Does your household have ownership of farm animals (everywhere)? 2804 0 -9 1 -9 Refuse to answer 4 -8 I don't know 4 0 No 1214 1 Yes 1582 Does your household have a bank acccount or a savings account? 2804 0 -9 1 -9 Refuse to answer 3 -8 I don't know 19 0 No 1794 1 Yes 988 How many people live in your household? 2804 0 -999 40 Of those how many are children (under the age of 5)? 2804 0 -999 20 How many of your household members are dependent on your income (including child 2804 0 -999 40 Unique submission ID 2804 0 o When was the last time (before this visit)? 103 2701 2014-01-15 2016-04-07 o When was the last time (before this visit)? 676 2128 2011-07-12 2016-04-26 treatment 2804 0 0 2 0 Control 1116 1 Treatment A 832 2 Treatment B 856 Compared to a regular day, how do you feel today? 1389 1415 -8 5 -9 I refuse to answer 0 -8 I don't know 3 1 Much worse 30 2 A little worse 354 3 About the same 502 4 A little better 277 5 Much better 223 Sysmiss 1415 Compared to a regular day, how does your child feel today? 1063 1741 -8 5 -9 I refuse to answer 0 -8 I don't know 4 1 Much worse 35 2 A little worse 328 3 About the same 237 4 A little better 291 5 Much better 168 Sysmiss 1741 Normally, how would you rate your own overall health? 2470 334 1 5 -9 Refuse to answer 0 -8 I don't know 0 1 Very healthy 1192 2 Moderately healthy 906 3 Average 279 4 Moderately unhealthy 60 5 Very unhealthy 33 6 Other 0 Sysmiss 334 Specify other. 2804 0 Normally, how would you rate your child's overall health? 1064 1740 1 5 -9 Refuse to answer 0 -8 I don't know 0 1 Very healthy 361 2 Moderately healthy 438 3 Average 199 4 Moderately unhealthy 50 5 Very unhealthy 16 6 Other 0 Sysmiss 1740 Specify other. 2804 0 Do you have a second phone number? (alternative number)? 1387 1417 0 1 0 No 1349 1 Yes 38 Sysmiss 1417 What is your relationship to that person? 2804 0 Specify other. 2804 0 How would you rate the lab fees on a scale from 1 to 10? 312 2492 -9 10 -9 I refuse to answer 3 -8 I don't know 156 1 1 5 2 2 0 3 3 0 4 4 1 5 5 7 6 6 5 7 7 11 8 8 30 9 9 13 10 10 81 Sysmiss 2492 How would you rate the cleanliness of the health facility on a scale from 1 to 1 312 2492 1 10 -9 I refuse to answer 0 -8 I don't know 0 1 1 1 2 2 4 3 3 3 4 4 1 5 5 22 6 6 19 7 7 36 8 8 47 9 9 48 10 10 131 Sysmiss 2492 How would you rate the waiting time on a scale from 1 to 10? 312 2492 1 10 -9 I refuse to answer 0 -8 I don't know 0 1 1 2 2 2 2 3 3 3 4 4 3 5 5 14 6 6 20 7 7 20 8 8 57 9 9 59 10 10 132 Sysmiss 2492 How would you rate the fees for medicines or drugs on a scale from 1 to 10? 312 2492 -9 10 -9 I refuse to answer 3 -8 I don't know 55 1 1 5 2 2 1 3 3 4 4 4 4 5 5 5 6 6 22 7 7 19 8 8 33 9 9 36 10 10 125 Sysmiss 2492 How would you rate staff behavior on a scale from 1 to 10? 312 2492 -8 10 -9 I refuse to answer 0 -8 I don't know 2 1 1 1 2 2 0 3 3 0 4 4 1 5 5 5 6 6 12 7 7 22 8 8 48 9 9 56 10 10 165 Sysmiss 2492 How would you rate the explanation that was given to you of your condition on a 312 2492 -9 10 -9 I refuse to answer 1 -8 I don't know 2 1 1 0 2 2 1 3 3 2 4 4 4 5 5 6 6 6 14 7 7 27 8 8 40 9 9 68 10 10 147 Sysmiss 2492 How would you rate the privacy during your visit on a scale from 1 to 10? 312 2492 -9 10 -9 I refuse to answer 1 -8 I don't know 4 1 1 3 2 2 3 3 3 3 4 4 10 5 5 17 6 6 20 7 7 40 8 8 50 9 9 54 10 10 107 Sysmiss 2492 How would you rate the registration fees on a scale from 1 to 10? 312 2492 -9 10 -9 I refuse to answer 5 -8 I don't know 96 1 1 1 2 2 1 3 3 2 4 4 0 5 5 5 6 6 6 7 7 11 8 8 27 9 9 35 10 10 123 Sysmiss 2492 How would you rate the amount of time staff spent with you on a scale from 1 to 312 2492 -8 10 -9 I refuse to answer 0 -8 I don't know 2 1 1 0 2 2 1 3 3 1 4 4 2 5 5 14 6 6 16 7 7 41 8 8 53 9 9 71 10 10 111 Sysmiss 2492 How would you rate the opening hours for the facility on a scale from 1 to 10? 312 2492 -8 10 -9 I refuse to answer 0 -8 I don't know 13 1 1 0 2 2 0 3 3 0 4 4 3 5 5 4 6 6 17 7 7 29 8 8 46 9 9 52 10 10 148 Sysmiss 2492 How would you rate your trust in the staff's decision about medical treatment on 312 2492 -8 10 -9 I refuse to answer 0 -8 I don't know 6 1 1 0 2 2 0 3 3 0 4 4 1 5 5 9 6 6 9 7 7 19 8 8 37 9 9 73 10 10 158 Sysmiss 2492 How would you rate the lab fees on a scale from 1 to 10? 178 2626 -9 10 -9 I refuse to answer 1 -8 I don't know 106 1 1 3 2 2 1 3 3 1 4 4 1 5 5 5 6 6 9 7 7 5 8 8 7 9 9 6 10 10 33 Sysmiss 2626 How would you rate the cleanliness of the health facility on a scale from 1 to 1 285 2519 -8 10 -9 I refuse to answer 0 -8 I don't know 1 1 1 2 2 2 1 3 3 3 4 4 7 5 5 10 6 6 20 7 7 39 8 8 67 9 9 40 10 10 95 Sysmiss 2519 How would you rate the waiting time on a scale from 1 to 10? 285 2519 -8 10 -9 I refuse to answer 0 -8 I don't know 1 1 1 7 2 2 4 3 3 1 4 4 10 5 5 9 6 6 9 7 7 31 8 8 53 9 9 54 10 10 106 Sysmiss 2519 How would you rate the fees for medicines or drugs on a scale from 1 to 10? 285 2519 -9 10 -9 I refuse to answer 1 -8 I don't know 48 1 1 8 2 2 6 3 3 5 4 4 3 5 5 10 6 6 11 7 7 21 8 8 28 9 9 39 10 10 105 Sysmiss 2519 How would you rate staff behavior on a scale from 1 to 10? 285 2519 -8 10 -9 I refuse to answer 0 -8 I don't know 2 1 1 0 2 2 1 3 3 0 4 4 2 5 5 4 6 6 9 7 7 20 8 8 52 9 9 63 10 10 132 Sysmiss 2519 How would you rate the explanation that was given to you of your condition on a 285 2519 -8 10 -9 I refuse to answer 0 -8 I don't know 3 1 1 1 2 2 1 3 3 0 4 4 0 5 5 7 6 6 5 7 7 29 8 8 38 9 9 82 10 10 119 Sysmiss 2519 How would you rate the privacy during your visit on a scale from 1 to 10? 285 2519 -8 10 -9 I refuse to answer 0 -8 I don't know 4 1 1 3 2 2 2 3 3 2 4 4 11 5 5 12 6 6 24 7 7 34 8 8 43 9 9 56 10 10 94 Sysmiss 2519 How would you rate the registration fees on a scale from 1 to 10? 285 2519 -9 10 -9 I refuse to answer 3 -8 I don't know 88 1 1 3 2 2 0 3 3 0 4 4 1 5 5 2 6 6 3 7 7 6 8 8 24 9 9 31 10 10 124 Sysmiss 2519 How would you rate the amount of time staff spent with you on a scale from 1 to 285 2519 -8 10 -9 I refuse to answer 0 -8 I don't know 1 1 1 0 2 2 0 3 3 1 4 4 6 5 5 14 6 6 19 7 7 41 8 8 57 9 9 61 10 10 85 Sysmiss 2519 How would you rate the opening hours for the facility on a scale from 1 to 10? 285 2519 -8 10 -9 I refuse to answer 0 -8 I don't know 6 1 1 0 2 2 2 3 3 1 4 4 3 5 5 6 6 6 7 7 7 23 8 8 41 9 9 62 10 10 134 Sysmiss 2519 How would you rate your trust in the staff's decision about medical treatment on 285 2519 -8 10 -9 I refuse to answer 0 -8 I don't know 3 1 1 0 2 2 0 3 3 1 4 4 0 5 5 2 6 6 6 7 7 27 8 8 36 9 9 60 10 10 150 Sysmiss 2519 1) Lab fees 50 2754 -8 10 -9 I refuse to answer 0 -8 I don't know 1 1 1 1 2 2 2 3 3 0 4 4 2 5 5 3 6 6 2 7 7 4 8 8 6 9 9 4 10 10 25 Sysmiss 2754 2) Cleanliness of health facility 582 2222 -9 10 -9 I refuse to answer 1 -8 I don't know 3 1 1 0 2 2 1 3 3 3 4 4 5 5 5 30 6 6 36 7 7 60 8 8 129 9 9 83 10 10 231 Sysmiss 2222 3) Waiting time 582 2222 1 10 -9 I refuse to answer 0 -8 I don't know 0 1 1 8 2 2 3 3 3 11 4 4 12 5 5 29 6 6 44 7 7 56 8 8 92 9 9 91 10 10 236 Sysmiss 2222 4) Fees for medicines or drugs 263 2541 -8 10 -9 I refuse to answer 0 -8 I don't know 2 1 1 3 2 2 4 3 3 5 4 4 6 5 5 19 6 6 19 7 7 27 8 8 53 9 9 52 10 10 73 Sysmiss 2541 5) Staff behavior (courtesy and respect) 582 2222 -8 10 -9 I refuse to answer 0 -8 I don't know 1 1 1 0 2 2 0 3 3 0 4 4 3 5 5 13 6 6 25 7 7 44 8 8 85 9 9 120 10 10 291 Sysmiss 2222 6) Explanation of your condition 582 2222 -8 10 -9 I refuse to answer 0 -8 I don't know 7 1 1 1 2 2 0 3 3 3 4 4 0 5 5 18 6 6 24 7 7 33 8 8 114 9 9 129 10 10 253 Sysmiss 2222 7) Privacy during your visit 582 2222 -8 10 -9 I refuse to answer 0 -8 I don't know 2 1 1 6 2 2 2 3 3 5 4 4 8 5 5 31 6 6 38 7 7 54 8 8 119 9 9 138 10 10 179 Sysmiss 2222 8) Registration fees 582 2222 -9 10 -9 I refuse to answer 10 -8 I don't know 165 1 1 3 2 2 3 3 3 0 4 4 1 5 5 21 6 6 8 7 7 22 8 8 52 9 9 72 10 10 225 Sysmiss 2222 9) Amount of time staff spent with you 582 2222 -8 10 -9 I refuse to answer 0 -8 I don't know 1 1 1 2 2 2 3 3 3 3 4 4 6 5 5 35 6 6 41 7 7 67 8 8 114 9 9 120 10 10 190 Sysmiss 2222 10) Opening hours of the facility 582 2222 -8 10 -9 I refuse to answer 0 -8 I don't know 17 1 1 3 2 2 1 3 3 2 4 4 3 5 5 18 6 6 19 7 7 46 8 8 90 9 9 105 10 10 278 Sysmiss 2222 11) Trust in the staff's decision about medical treatment 582 2222 -8 10 -9 I refuse to answer 0 -8 I don't know 7 1 1 0 2 2 0 3 3 0 4 4 1 5 5 6 6 6 20 7 7 34 8 8 89 9 9 145 10 10 280 Sysmiss 2222 Do you want the example for a young person or an older person? 796 2008 0 1 0 Older person (Cooking) 580 1 Young person (Football example) 216 Sysmiss 2008 EXAMPLE: Your mother is/was a good cook. Do you agree or disagree? 580 2224 -8 3 -9 Refuse to answer 0 -8 I don't know 3 1 agree 569 2 disagree 5 3 neither agree nor disagree 3 Sysmiss 2224 Do you agree moderately or strongly? 569 2235 0 1 0 I agree moderately 19 1 I agree strongly 550 Sysmiss 2235 Do you disagree moderately or strongly? 5 2799 0 1 0 I disagree moderately 2 1 I disagree strongly 3 Sysmiss 2799 Image of the enumerator 2804 0 Date/time submitted 425 2379 2016-03-16 09:42:55 2016-05-20 15:52:54 Form version used on device 103 2701 1 1 SURE-P treatment status 2804 0 Would you like to continue? 1370 0 1 1 0 No 0 1 Yes 1370 Please select the state that we are in 1370 0 100 600 100 Anambra 198 200 Bauchi 246 300 Cross River 223 400 Ekiti 228 500 Kebbi 248 600 Niger 227 Please choose the facility we are in from the list. 1370 0 1 80 To the enumerator: What is your name? 1370 0 2 18 Number of clinic staff in the previous list 1370 0 7 39 Number of clinic staff in the previous list 1370 0 7 39 staff (present) 1370 0 Number of workers present for vignette 1370 0 2 23 Unique submission ID 1370 0 Survey start time 1370 0 2015-01-14 03:41:58 2015-02-11 05:10:52 Survey end time 1370 0 2015-01-14 06:53:07 2015-02-11 06:37:12 How many CLINICAL staff who perform outpatient consultation regularly are curren 1221 149 0 3 Additional workers currently present 1221 149 0 3 SET-OF-clinic_staffv2 1370 0 Does still work in this facility? 1336 34 0 1 0 No 175 1 Yes 1161 2 Other 0 Sysmiss 34 Does perform outpatient consultation regularly? 1161 209 0 1 0 No 486 1 Yes 675 2 Other 0 Sysmiss 209 Staff ID (only those who are still working at the PHC and providing outpatient s 675 695 1 39 KEY 1370 0 We would like to speak to . Is (s)he still here? 676 694 0 1 0 No 430 1 Yes 246 2 Other 0 Sysmiss 694 Do you agree to be interviewed? 280 1090 0 1 0 No 3 1 Yes 277 2 Other 0 Sysmiss 1090 What is the reason for refusal? 1370 0 History taking: Did the health worker mention any of the following? 0 1370 0 No 0 1 Yes 0 2 Other 0 Sysmiss 1370 Does he have other symptoms? 270 1100 0 1 0 No 209 1 Yes 61 2 Other 0 Sysmiss 1100 Does he have other symptoms? (Other, specify) 0 1370 Duration of diarrhoea 277 1093 0 1 0 No 33 1 Yes 244 2 Other 0 Sysmiss 1093 Duration of diarrhoea (Other, specify) 0 1370 Frequency of diarrhoea 274 1096 0 1 0 No 105 1 Yes 169 2 Other 0 Sysmiss 1096 Frequency of diarrhoea (Other, specify) 0 1370 Consistency of stool 272 1098 0 1 0 No 103 1 Yes 169 2 Other 0 Sysmiss 1098 Consistency of stool (Other, specify) 0 1370 Blood in stool 272 1098 0 1 0 No 172 1 Yes 100 2 Other 0 Sysmiss 1098 Blood in stool (Other, specify) 0 1370 Vomiting 274 1096 0 1 0 No 90 1 Yes 184 2 Other 0 Sysmiss 1096 Vomiting (Other, specify) 0 1370 Breastfeeding 269 1101 0 1 0 No 220 1 Yes 49 2 Other 0 Sysmiss 1101 Breastfeeding (Other, specify) 0 1370 Breastfeeding well 268 1102 0 1 0 No 234 1 Yes 34 2 Other 0 Sysmiss 1102 Breastfeeding well (Other, specify) 0 1370 Cough 269 1101 0 1 0 No 221 1 Yes 48 2 Other 0 Sysmiss 1101 Cough (Other, specify) 0 1370 Fever 273 1097 0 1 0 No 120 1 Yes 153 2 Other 0 Sysmiss 1097 Fever (Other, specify) 0 1370 General condition 271 1099 0 1 0 No 218 1 Yes 53 2 Other 0 Sysmiss 1099 General condition (Other, specify) 0 1370 Tears 266 1104 0 1 0 No 262 1 Yes 4 2 Other 0 Sysmiss 1104 Tears (Other, specify) 0 1370 Has the baby started taking other food recently? 270 1100 0 1 0 No 219 1 Yes 51 2 Other 0 Sysmiss 1100 Has the baby started taking other food recently? (Other, specify) 0 1370 How has it been given? 270 1100 0 1 0 No 255 1 Yes 15 2 Other 0 Sysmiss 1100 How has it been given? (Other, specify) 0 1370 Who prepares and feed your son? 269 1101 0 1 0 No 254 1 Yes 15 2 Other 0 Sysmiss 1101 Who prepares and feed your son? (Other, specify) 0 1370 Hand washing practice? 269 1101 0 1 0 No 235 1 Yes 34 2 Other 0 Sysmiss 1101 Hand washing practice? (Other, specify) 0 1370 Other family members/neighbours have diarrhoea? 267 1103 0 1 0 No 260 1 Yes 7 2 Other 0 Sysmiss 1103 Other family members/neighbours have diarrhoea? (Other, specify) 0 1370 Abdominal discomfort/cramps 265 1105 0 1 0 No 233 1 Yes 32 2 Other 0 Sysmiss 1105 Abdominal discomfort/cramps (Other, specify) 0 1370 Last deworming? 265 1105 0 1 0 No 251 1 Yes 14 2 Other 0 Sysmiss 1105 Last deworming? (Other, specify) 0 1370 Medication/treatment 269 1101 0 2 0 No 134 1 Yes 133 2 Other 2 Sysmiss 1101 Medication/treatment (Other, specify) 1370 0 Physical Examination: Did the health worker mention or do any of the following? 0 1370 0 No 0 1 Yes 0 2 Other 0 Sysmiss 1370 General health condition (awake/lethargic/tiredness/fatigue) 272 1098 0 1 0 No 231 1 Yes 41 2 Other 0 Sysmiss 1098 General health condition (awake/lethargic/tiredness/fatigue) (Other, specify) 0 1370 Take temperature 274 1096 0 1 0 No 133 1 Yes 141 2 Other 0 Sysmiss 1096 Take temperature (Other, specify) 0 1370 Skin pinch 272 1098 0 1 0 No 176 1 Yes 96 2 Other 0 Sysmiss 1098 Skin pinch (Other, specify) 0 1370 Offer drink 271 1099 0 1 0 No 265 1 Yes 6 2 Other 0 Sysmiss 1099 Offer drink (Other, specify) 0 1370 Mucous membrane (oral mucosa) 271 1099 0 1 0 No 244 1 Yes 27 2 Other 0 Sysmiss 1099 Mucous membrane (oral mucosa) (Other, specify) 0 1370 Look for palmar pallor (or other signs of anaemia) 270 1100 0 1 0 No 233 1 Yes 37 2 Other 0 Sysmiss 1100 Look for palmar pallor (or other signs of anaemia) (Other, specify) 0 1370 Neck stiffness 270 1100 0 1 0 No 268 1 Yes 2 2 Other 0 Sysmiss 1100 Neck stiffness (Other, specify) 0 1370 Check ear/throat 267 1103 0 1 0 No 263 1 Yes 4 2 Other 0 Sysmiss 1103 Check ear/throat (Other, specify) 0 1370 Check respiratory rate 269 1101 0 1 0 No 243 1 Yes 26 2 Other 0 Sysmiss 1101 Check respiratory rate (Other, specify) 0 1370 Palpate for the spleen 266 1104 0 1 0 No 257 1 Yes 9 2 Other 0 Sysmiss 1104 Palpate for the spleen (Other, specify) 0 1370 Check for visible severe wasting 266 1104 0 1 0 No 257 1 Yes 9 2 Other 0 Sysmiss 1104 Check for visible severe wasting (Other, specify) 0 1370 Weight 269 1101 0 1 0 No 234 1 Yes 35 2 Other 0 Sysmiss 1101 Weight (Other, specify) 0 1370 Sunken eyes 270 1100 0 1 0 No 165 1 Yes 105 2 Other 0 Sysmiss 1100 Sunken eyes (Other, specify) 0 1370 Check weight (against a growth chart) 265 1105 0 1 0 No 258 1 Yes 7 2 Other 0 Sysmiss 1105 Check weight (against a growth chart) (Other, specify) 0 1370 Look for oedema of both feet (swollen feet) 261 1109 0 1 0 No 257 1 Yes 4 2 Other 0 Sysmiss 1109 Look for oedema of both feet (swollen feet) (Other, specify) 0 1370 Tests: Did the health worker recommend any of the following? 0 1370 0 No 0 1 Yes 0 2 Other 0 Sysmiss 1370 Random Blood Sugar (RBS) 271 1099 0 2 0 No 263 1 Yes 7 2 Other 1 Sysmiss 1099 Random Blood Sugar (RBS) (Other, specify) 1370 0 Stool for rota/adeno virus (Culture) 272 1098 0 1 0 No 258 1 Yes 14 2 Other 0 Sysmiss 1098 Stool for rota/adeno virus (Culture) (Other, specify) 1370 0 Stool for ova and cyst (Microscopy) 272 1098 0 2 0 No 230 1 Yes 35 2 Other 7 Sysmiss 1098 Stool for ova and cyst (Microscopy) (Other, specify) 1370 0 Observer: It will take some time to get the results, ask the health worker to ma 0 1370 Did s(he) make the correct diagnosis? 277 1093 0 1 0 No 245 1 Yes 32 2 Other 0 Sysmiss 1093 Observer: Please add any comment on the diagnosis made by clinician here 1370 0 What other diagnosis did s(he) give? 1370 0 Treatment: Did the health worker prescribe any of the following? 0 1370 0 No 0 1 Yes 0 2 Other 0 Sysmiss 1370 Rehydration using Oral Rehydration Salts 277 1093 0 1 0 No 9 1 Yes 268 2 Other 0 Sysmiss 1093 Rehydration using Oral Rehydration Salts (Other, specify) 0 1370 Give 100ml/kg Ringer’s Lactate Solution. (Intravenous fluid) 269 1101 0 2 0 No 217 1 Yes 51 2 Other 1 Sysmiss 1101 Give 100ml/kg Ringer’s Lactate Solution. (Intravenous fluid) (Other, specify) 1370 0 Refer to Hospital immediately 262 1108 0 2 0 No 245 1 Yes 13 2 Other 4 Sysmiss 1108 Refer to Hospital immediately (Other, specify) 1370 0 Antibiotics (example Flagyl, Septrin, Amoxycillin) 271 1099 0 2 0 No 72 1 Yes 148 2 Other 51 Sysmiss 1099 Antibiotics (example Flagyl, Septrin, Amoxycillin) (Other, specify) 1370 0 Vitamin A capsules. 262 1108 0 2 0 No 244 1 Yes 14 2 Other 4 Sysmiss 1108 Vitamin A capsules. (Other, specify) 1370 0 Zinc tablets –one daily for 10days. 272 1098 0 2 0 No 107 1 Yes 152 2 Other 13 Sysmiss 1098 Zinc tablets –one daily for 10days. (Other, specify) 1370 0 Please add any comments on treatment here 1370 0 Health Education: Did the health worker mention any of the following? 0 1370 0 No 0 1 Yes 0 2 Other 0 Sysmiss 1370 Education on using (ORS) 273 1097 0 2 0 No 47 1 Yes 225 2 Other 1 Sysmiss 1097 Education on using (ORS) (Other, specify) 1370 0 Hand-washing education 270 1100 0 1 0 No 137 1 Yes 133 2 Other 0 Sysmiss 1100 Hand-washing education (Other, specify) 0 1370 Proper cleaning of feeding utensils. 270 1100 0 2 0 No 161 1 Yes 108 2 Other 1 Sysmiss 1100 Proper cleaning of feeding utensils. (Other, specify) 1370 0 Emphasis on not withholding feeding especially breast feeding 269 1101 0 2 0 No 246 1 Yes 21 2 Other 2 Sysmiss 1101 Emphasis on not withholding feeding especially breast feeding (Other, specify) 1370 0 Giving plenty of oral fluids. 273 1097 0 2 0 No 182 1 Yes 57 2 Other 34 Sysmiss 1097 Giving plenty of oral fluids. (Other, specify) 1370 0 Referral: Did the health worker mention any of the following? 0 1370 0 No 0 1 Yes 0 2 Other 0 Sysmiss 1370 Facility does not handle cases of this type 271 1099 0 2 0 No 269 1 Yes 1 2 Other 1 Sysmiss 1099 Facility does not handle cases of this type (Other, specify) 1370 0 Beyond clinician knowledge 271 1099 0 1 0 No 270 1 Yes 1 2 Other 0 Sysmiss 1099 Beyond clinician knowledge (Other, specify) 1370 0 Observer: Please add general comment on this case here 1370 0 History taking: Did the health worker mention any of the following? 0 1370 0 No 0 1 Yes 0 2 Other 0 Sysmiss 1370 Does she have other symptoms? 272 1098 0 1 0 No 209 1 Yes 63 2 Other 0 Sysmiss 1098 Does she have other symptoms? (Other, specify) 0 1370 Duration of cough 276 1094 0 1 0 No 29 1 Yes 247 2 Other 0 Sysmiss 1094 Duration of cough (Other, specify) 0 1370 Sputum production or dry cough 272 1098 0 1 0 No 114 1 Yes 158 2 Other 0 Sysmiss 1098 Sputum production or dry cough (Other, specify) 0 1370 Presence of blood in sputum / colour of sputum 273 1097 0 1 0 No 167 1 Yes 106 2 Other 0 Sysmiss 1097 Presence of blood in sputum / colour of sputum (Other, specify) 0 1370 Presence of chest pain 271 1099 0 1 0 No 210 1 Yes 61 2 Other 0 Sysmiss 1099 Presence of chest pain (Other, specify) 0 1370 Presence of difficulty in breathing 270 1100 0 1 0 No 193 1 Yes 77 2 Other 0 Sysmiss 1100 Presence of difficulty in breathing (Other, specify) 0 1370 Appetite 271 1099 0 1 0 No 189 1 Yes 82 2 Other 0 Sysmiss 1099 Appetite (Other, specify) 0 1370 Fever 273 1097 0 1 Fever (Other, specify) 0 1370 General condition (awake / lethargic): 269 1101 0 1 0 No 242 1 Yes 27 2 Other 0 Sysmiss 1101 General condition (awake / lethargic): (Other, specify) 0 1370 Convulsions 270 1100 0 1 0 No 257 1 Yes 13 2 Other 0 Sysmiss 1100 Convulsions (Other, specify) 0 1370 Difficulty in swallowing 267 1103 0 1 0 No 255 1 Yes 12 2 Other 0 Sysmiss 1103 Difficulty in swallowing (Other, specify) 0 1370 Running nose 269 1101 0 1 0 No 180 1 Yes 89 2 Other 0 Sysmiss 1101 Running nose (Other, specify) 0 1370 Medication /treatment 273 1097 0 1 0 No 170 1 Yes 103 2 Other 0 Sysmiss 1097 Medication /treatment (Other, specify) 0 1370 Recent history of Measles 267 1103 0 1 0 No 264 1 Yes 3 2 Other 0 Sysmiss 1103 Recent history of Measles (Other, specify) 0 1370 Family history of Asthma 267 1103 0 2 0 No 255 1 Yes 10 2 Other 2 Sysmiss 1103 Family history of Asthma (Other, specify) 1370 0 Redness of the eyes 266 1104 0 1 0 No 251 1 Yes 15 2 Other 0 Sysmiss 1104 Redness of the eyes (Other, specify) 0 1370 Physical examination: Did the health worker perform or mention any of the follow 0 1370 0 No 0 1 Yes 0 2 Other 0 Sysmiss 1370 Count respiratory rate 273 1097 0 1 0 No 222 1 Yes 51 2 Other 0 Sysmiss 1097 Count respiratory rate (Other, specify) 0 1370 Observe breathing for lower chest wall in-drawing 270 1100 0 1 0 No 230 1 Yes 40 2 Other 0 Sysmiss 1100 Observe breathing for lower chest wall in-drawing (Other, specify) 0 1370 Breathing, is there wheezing? 271 1099 0 1 0 No 195 1 Yes 76 2 Other 0 Sysmiss 1099 Breathing, is there wheezing? (Other, specify) 0 1370 Auscultate the chest 273 1097 0 1 0 No 161 1 Yes 112 2 Other 0 Sysmiss 1097 Auscultate the chest (Other, specify) 0 1370 Observe for nasal flaring 270 1100 0 1 0 No 265 1 Yes 5 2 Other 0 Sysmiss 1100 Observe for nasal flaring (Other, specify) 0 1370 Take temperature 274 1096 0 1 0 No 116 1 Yes 158 2 Other 0 Sysmiss 1096 Take temperature (Other, specify) 0 1370 Examine throat 271 1099 0 1 0 No 269 1 Yes 2 2 Other 0 Sysmiss 1099 Examine throat (Other, specify) 0 1370 Examine ears 269 1101 0 1 0 No 265 1 Yes 4 2 Other 0 Sysmiss 1101 Examine ears (Other, specify) 0 1370 Examine Lymph nodes 270 1100 0 1 0 No 269 1 Yes 1 2 Other 0 Sysmiss 1100 Examine Lymph nodes (Other, specify) 0 1370 Tests: Did the health worker recommend any of the following? 0 1370 0 No 0 1 Yes 0 2 Other 0 Sysmiss 1370 Chest X-ray 270 1100 0 2 0 No 256 1 Yes 13 2 Other 1 Sysmiss 1100 Chest X-ray (Other, specify) 1370 0 Haemogram/Full blood count 270 1100 0 1 0 No 256 1 Yes 14 2 Other 0 Sysmiss 1100 Haemogram/Full blood count (Other, specify) 1370 0 Blood slide for Malaria Parasite 277 1093 0 2 0 No 132 1 Yes 137 2 Other 8 Sysmiss 1093 Blood slide for Malaria Parasite (Other, specify) 1370 0 Diagnosis2 0 1370 Observer: It will take some time to get the results, ask the health worker to ma 0 1370 Diagnosis: Did (s)he make the correct diagnosis? 277 1093 0 1 0 No 157 1 Yes 120 2 Other 0 Sysmiss 1093 What other diagnosis did (s)he make? 1370 0 Treatment: Did the health worker prescribe any of the following? 0 1370 0 No 0 1 Yes 0 2 Other 0 Sysmiss 1370 Treat as out-patient. 257 1113 0 2 0 No 247 1 Yes 7 2 Other 3 Sysmiss 1113 Treat as out-patient. (Other, specify) 1370 0 Cortimoxazole 1 tab bd x 5/7 (septrin) 272 1098 0 2 0 No 86 1 Yes 159 2 Other 27 Sysmiss 1098 Cortimoxazole 1 tab bd x 5/7 (septrin) (Other, specify) 1370 0 Amoxycillin Dosage 250mg qds x 5 (Amoxyl, ampicillin) 270 1100 0 2 0 No 122 1 Yes 113 2 Other 35 Sysmiss 1100 Amoxycillin Dosage 250mg qds x 5 (Amoxyl, ampicillin) (Other, specify) 1370 0 Arthemeter-Lumefantrine 2 tabs x 2/day x 3 days (Coartem, Lonart) 264 1106 0 2 0 No 205 1 Yes 55 2 Other 4 Sysmiss 1106 Arthemeter-Lumefantrine 2 tabs x 2/day x 3 days (Coartem, Lonart) (Other, specif 1370 0 Artesunate+Amodiaquine 1 tabX 1/day x 3 days (Camosunate, camoquine-artesunate) 261 1109 0 2 0 No 241 1 Yes 18 2 Other 2 Sysmiss 1109 Artesunate+Amodiaquine 1 tabX 1/day x 3 days (Camosunate, camoquine-artesunate) 1370 0 Paracetamol dose 250 mg qds x 5 days 275 1095 0 2 0 No 61 1 Yes 154 2 Other 60 Sysmiss 1095 Paracetamol dose 250 mg qds x 5 days (Other, specify) 1370 0 Ask parent to bring child in 2 days 266 1104 0 2 0 No 168 1 Yes 45 2 Other 53 Sysmiss 1104 Ask parent to bring child in 2 days (Other, specify) 1370 0 Please add any comments on treatment here 1370 0 Health Education: Did the health worker mention any of the following? 0 1370 0 No 0 1 Yes 0 2 Other 0 Sysmiss 1370 Instruct parent on how to administer antibiotics for 5 days. 271 1099 0 2 0 No 223 1 Yes 47 2 Other 1 Sysmiss 1099 Instruct parent on how to administer antibiotics for 5 days. (Other, specify) 0 1370 Guidance on how to feed. 270 1100 0 2 0 No 244 1 Yes 25 2 Other 1 Sysmiss 1100 Guidance on how to feed. (Other, specify) 1370 0 Increase fluid intake. 270 1100 0 2 0 No 234 1 Yes 35 2 Other 1 Sysmiss 1100 Increase fluid intake. (Other, specify) 1370 0 Instruct parent to return anytime in case the child worsens (or has any danger s 271 1099 0 2 0 No 166 1 Yes 76 2 Other 29 Sysmiss 1099 Instruct parent to return anytime in case the child worsens (or has any danger s 1370 0 Referral: Did the health worker mention any of the following? 0 1370 0 No 0 1 Yes 0 2 Other 0 Sysmiss 1370 Facility does not handle cases of this type 271 1099 0 2 0 No 263 1 Yes 7 2 Other 1 Sysmiss 1099 Facility does not handle cases of this type (Other, specify) 1370 0 Beyond clinician knowledge 271 1099 0 2 0 No 270 1 Yes 0 2 Other 1 Sysmiss 1099 Beyond clinician knowledge (Other, specify) 1370 0 Observer: Please add general comment on this case here 1370 0 History taking: Did the health worker mention any of the following? 0 1370 0 No 0 1 Yes 0 2 Other 0 Sysmiss 1370 Duration of fever 273 1097 0 1 0 No 69 1 Yes 204 2 Other 0 Sysmiss 1097 Duration of fever (Other, specify) 0 1370 Pattern of fever/Presence or history of fever 271 1099 0 1 0 No 192 1 Yes 79 2 Other 0 Sysmiss 1099 Pattern of fever/Presence or history of fever (Other, specify) 0 1370 Shiver or sweat 270 1100 0 1 0 No 248 1 Yes 22 2 Other 0 Sysmiss 1100 Shiver or sweat (Other, specify) 0 1370 Convulsions 272 1098 0 1 0 No 222 1 Yes 50 2 Other 0 Sysmiss 1098 Convulsions (Other, specify) 0 1370 Vomiting 274 1096 0 1 0 No 127 1 Yes 147 2 Other 0 Sysmiss 1096 Vomiting (Other, specify) 0 1370 Appetite 273 1097 0 1 0 No 134 1 Yes 139 2 Other 0 Sysmiss 1097 Appetite (Other, specify) 0 1370 Diarrhoea 272 1098 0 1 0 No 213 1 Yes 59 2 Other 0 Sysmiss 1098 Diarrhoea (Other, specify) 0 1370 Cough 274 1096 0 1 0 No 190 1 Yes 84 2 Other 0 Sysmiss 1096 Cough (Other, specify) 0 1370 Severity of cough 271 1099 0 1 0 No 245 1 Yes 26 2 Other 0 Sysmiss 1099 Severity of cough (Other, specify) 0 1370 Difficulty in breathing 270 1100 0 1 0 No 251 1 Yes 19 2 Other 0 Sysmiss 1100 Difficulty in breathing (Other, specify) 0 1370 Type of cough (productive or dry) 271 1099 0 1 0 No 245 1 Yes 26 2 Other 0 Sysmiss 1099 Type of cough (productive or dry) (Other, specify) 0 1370 Type of medication given 273 1097 0 1 0 No 115 1 Yes 158 2 Other 0 Sysmiss 1097 Type of medication given (Other, specify) 0 1370 Amount 269 1101 0 1 0 No 253 1 Yes 16 2 Other 0 Sysmiss 1101 Amount (Other, specify) 0 1370 Vaccinations 264 1106 0 1 0 No 258 1 Yes 6 2 Other 0 Sysmiss 1106 Vaccinations (Other, specify) 0 1370 Physical Examination: Did the health worker check or mention any of the followin 0 1370 0 No 0 1 Yes 0 2 Other 0 Sysmiss 1370 Hands (palmar pallor) 270 1100 0 1 0 No 244 1 Yes 26 2 Other 0 Sysmiss 1100 Hands (palmar pallor) (Other, specify) 0 1370 Tongue 271 1099 0 1 0 No 239 1 Yes 32 2 Other 0 Sysmiss 1099 Tongue (Other, specify) 1370 0 Eyes, sunken? 271 1099 0 1 0 No 238 1 Yes 33 2 Other 0 Sysmiss 1099 Eyes, sunken? (Other, specify) 1370 0 Eyes, pale colour? 271 1099 0 1 0 No 212 1 Yes 59 2 Other 0 Sysmiss 1099 Eyes, pale colour? (Other, specify) 0 1370 Responsiveness / general condition 270 1100 0 1 0 No 244 1 Yes 26 2 Other 0 Sysmiss 1100 Responsiveness / general condition (Other, specify) 0 1370 Skin condition 269 1101 0 1 0 No 257 1 Yes 12 2 Other 0 Sysmiss 1101 Skin condition (Other, specify) 0 1370 Temperature 275 1095 0 1 0 No 54 1 Yes 221 2 Other 0 Sysmiss 1095 Temperature (Other, specify) 0 1370 Pulse 273 1097 0 1 0 No 194 1 Yes 79 2 Other 0 Sysmiss 1097 Pulse (Other, specify) 0 1370 Neck stiffness 270 1100 0 1 0 No 267 1 Yes 3 2 Other 0 Sysmiss 1100 Neck stiffness (Other, specify) 0 1370 Puffy face 269 1101 0 1 0 No 268 1 Yes 1 2 Other 0 Sysmiss 1101 Puffy face (Other, specify) 0 1370 Swelling of the feet 268 1102 0 1 0 No 263 1 Yes 5 2 Other 0 Sysmiss 1102 Swelling of the feet (Other, specify) 0 1370 Abdomen/liver 265 1105 0 1 0 No 253 1 Yes 12 2 Other 0 Sysmiss 1105 Abdomen/liver (Other, specify) 0 1370 Weight 268 1102 0 1 0 No 225 1 Yes 43 2 Other 0 Sysmiss 1102 Weight (Other, specify) 0 1370 Respiratory rate 268 1102 0 1 0 No 233 1 Yes 35 2 Other 0 Sysmiss 1102 Respiratory rate (Other, specify) 0 1370 Test: Did the health worker recommend any of the following? 0 1370 Microscopy/ Blood slide for malaria parasite 274 1096 0 1 0 No 118 1 Yes 156 2 Other 0 Sysmiss 1096 Microscopy/ Blood slide for malaria parasite (Other, specify) 1370 0 Rapid Diagnostic test 273 1097 0 1 0 No 113 1 Yes 160 2 Other 0 Sysmiss 1097 Rapid Diagnostic test (Other, specify) 0 1370 Hb / Full Blood Count 270 1100 0 2 0 No 238 1 Yes 31 2 Other 1 Sysmiss 1100 Hb / Full Blood Count (Other, specify) 1370 0 What diagnosis did (s)he make? 1370 0 Malaria 276 1094 0 1 Anemia 276 1094 0 1 Malaria with Anemia 276 1094 0 1 Severe Malaria 276 1094 0 1 Typhoid 276 1094 0 1 Other 276 1094 0 0 Don't know 276 1094 0 1 What diagnosis did (s)he make? (Other, specify) 1370 0 Observer: Please add any comment on the diagnosis made by clinician here 1370 0 Treatment: Did the health worker prescribe any of the following? 0 1370 0 No 0 1 Yes 0 2 Other 0 Sysmiss 1370 Artemizinin combination (ACT) e.g amodiaquine+artesunate, camoquine +artesunate, 276 1094 0 2 0 No 18 1 Yes 212 2 Other 46 Sysmiss 1094 Artemizinin combination (ACT) e.g amodiaquine+artesunate, camoquine +artesunate, 1370 0 Paracetamol 274 1096 0 2 0 No 25 1 Yes 223 2 Other 26 Sysmiss 1096 Paracetamol (Other, specify) 1370 0 Adequate fluids and nutrition 260 1110 0 2 0 No 245 1 Yes 14 2 Other 1 Sysmiss 1110 Adequate fluids and nutrition (Other, specify) 1370 0 Chloroquine 1.5 tabs x 1/day x 3 days 263 1107 0 2 0 No 253 1 Yes 9 2 Other 1 Sysmiss 1107 Chloroquine 1.5 tabs x 1/day x 3 days (Other, specify) 1370 0 Quinine intramuscular injection 266 1104 0 2 0 No 249 1 Yes 12 2 Other 5 Sysmiss 1104 Quinine intramuscular injection (Other, specify) 1370 0 Artesunate + Amodiaquin 264 1106 0 2 0 No 244 1 Yes 17 2 Other 3 Sysmiss 1106 Artesunate + Amodiaquin (Other, specify) 1370 0 SulphadoxinePyrimethamine .5 tab 250 mg tds x 3 days (Fansidar, Amalar) 268 1102 0 2 0 No 231 1 Yes 13 2 Other 24 Sysmiss 1102 SulphadoxinePyrimethamine .5 tab 250 mg tds x 3 days (Fansidar, Amalar) (Other, 1370 0 Please add any comments on treatment here 1370 0 Health Education: Did the health worker mention any of the following? 0 1370 0 No 0 1 Yes 0 2 Other 0 Sysmiss 1370 Adherence to treatment. 269 1101 0 2 0 No 193 1 Yes 73 2 Other 3 Sysmiss 1101 Adherence to treatment. (Other, specify) 1370 0 Prompt return if symptoms worsen 271 1099 0 2 0 No 184 1 Yes 86 2 Other 1 Sysmiss 1099 Prompt return if symptoms worsen (Other, specify) 1370 0 Increased fluid intake 271 1099 0 2 0 No 180 1 Yes 27 2 Other 64 Sysmiss 1099 Increased fluid intake (Other, specify) 1370 0 Referral: Did the health worker mention any of the following? 0 1370 0 No 0 1 Yes 0 2 Other 0 Sysmiss 1370 Facility does not handle this type of cases 272 1098 0 1 0 No 269 1 Yes 3 2 Other 0 Sysmiss 1098 Facility does not handle this type of cases (Other, specify) 0 1370 Beyond clinician knowledge 271 1099 0 1 0 No 269 1 Yes 2 2 Other 0 Sysmiss 1099 Beyond clinician knowledge (Other, specify) 0 1370 Observer: Please add general comment on this case here 1370 0 What will be your preliminary diagnosis? 277 1093 -9 4 -9 Refuse to answer 1 -8 I don't know 21 1 Postpartum Hemorrhage (PPH) 214 2 Hemorrhage 17 3 Bleeding disorder 3 4 Leukemia 21 5 Other 0 Sysmiss 1093 What will be your preliminary diagnosis? (Other, specify) 1370 0 If you were in charge of the case, what would you do? 1370 0 IV line 278 1092 0 0 Take blood for grouping and cross matching 278 1092 0 0 Put in a self retaining catheter, foley 278 1092 0 0 Do bimanual uterine massage and express any clots: this may also provoke contrac 278 1092 0 0 Put up an oxytocin drip 20 units in 500 ml dextrose or normal saline to run at 2 278 1092 0 0 Give prostaglandins when and where available;misoprostrol 600mcg orally or per r 278 1092 0 0 Surgery: Subtotal hysterectomy if above measures do not achieve haemostasis 278 1092 0 0 Referral 278 1092 0 0 Other 278 1092 0 0 Don't know 278 1092 0 1 Refuse to answer 278 1092 0 1 If you were in charge of the case, what would you do? (Other, specify) 1370 0 If you were to refer her, what would be your reasons? 1370 0 Facility does not handle this type of cases 108 1262 0 1 Beyond clinician knowledge 108 1262 0 1 Other 108 1262 0 1 Don't know 108 1262 0 1 Refuse to answer 108 1262 0 0 If you were to refer her, what would be your reasons? (Other, specify) 1370 0 What will be your preliminary diagnosis? 277 1093 -8 4 -9 Refuse to answer 0 -8 I don't know 53 1 Neonatal Asphyxia 178 2 Brain trauma 2 3 Meningitis 0 4 Pulmonary hypoplasia 44 Sysmiss 1093 What will be your preliminary diagnosis? (Other, specify) 1370 0 If you were in charge of the case, what would you do? 1370 0 Action: Clear the airway using a sucker if secretions are present. 278 1092 0 0 Action: Keep the baby warm. 278 1092 0 0 Action: Initiate resuscitation with bag and mask. 278 1092 0 0 Action: Use correctly fitting mask and give the baby 5 good inflation breaths. 278 1092 0 0 Action: Check heart rate (femoral pulse, cord pulsation or by listening). 278 1092 0 0 Action: Continue to bag at about 30 breaths per minute. Check if chest is moving 278 1092 0 0 Action: Every 1-2 minutes stop and see if pulse or breathing has improved. 278 1092 0 0 Action: Stop when heart rate exceeds 100 or RR greater than 30. Provide oxygen. 278 1092 0 0 Action: Call for help. 278 1092 0 0 Referral 278 1092 0 0 Other 278 1092 0 0 Don't know 278 1092 0 1 Refuse to answer 278 1092 0 0 If you were in charge of the case, what would you do? (Other, specify) 1370 0 If you were to refer her, what would be your reasons? 1370 0 Facility does not handle this type of cases 115 1255 0 1 Beyond clinician knowledge 115 1255 0 1 Other 115 1255 0 1 Don't know 115 1255 0 1 Refuse to answer 115 1255 0 0 If you were to refer her, what would be your reasons? (Other, specify) 1370 0 SET-OF-present_workers 1370 0 Image of the enumerator 1370 0 roster number 34 1336 1 3 Vignette start time 277 1093 2015-01-14 05:16:00 2015-02-16 05:13:00 Vignette end time 116 1254 2015-01-14 05:07:00 2016-01-19 08:08:00 Refuse to answer 276 1094 0 0 SURE-P treatment status 1370 0 treatment 1370 0 0 2 0 Control 544 1 Treatment A 439 2 Treatment B 387 surveyround 1370 0 7000 7000 SET-OF-clinic_staffv1 1370 0 survey round 1370 0 6 6 Round 6 1370 0 1 1